He had developed a rash on his face and right hand, and pain in both knee joints six months prior to presentation.Gouty arthritis was diagnosed because of coexistent hyperuricaemia.

• 大约在住院前六个月左右，这位病人发生位于脸及右手的皮疹和两侧膝关节疼痛，因为同时合并高尿酸血症，当时开业医师诊断为痛风性关节炎。