痛风诊断标准的演变及新标准解读

A new classification criteria for gout and its development

痛风是一种常见的代谢性疾病,临床可表现高尿酸血症、急性关节炎、反复痛风石沉积和慢性关节炎,并可导致肾脏损害。目前已有多种痛风诊断标准,其中最常用的是1977年美国风湿病学会制定的急性痛风性关节炎分类标准,但该标准已不能满足目前临床和研究的需求。最近美国风湿病学会和欧洲抗风湿联盟协作推出痛风诊断的新标准。本文就痛风诊断标准的演变和新标准的制订作一综述。

Gout is a common metabolic disorder characterized by hyperuricemia,acute gouty arthritis,recurrent tophi deposition and chronic arthritis,and usually resulting in kidney damage. There are several existing classification criteria for gout. The most widely used one is the 1977 American Rheumatology preliminary criteria for the classification of the acute arthritis of primary gout,in spite of obvious limitations. Recently a new classification criteria was developed by the American College of Rheumatology and the European League Against Rheumatism. This review is to introduce the development of classification criteria for gout and the formulation of the new classification.