痛风性关节炎并发勃起功能障碍一例报道并文献复习

痛风性关节炎易复发，其典型特征是累及关节和邻近组织的尿酸盐沉积，痛风患者患心血管疾病、高脂血症、肥胖、慢性肾脏疾病以及糖尿病等并发症的风险较高。近年来，不断有国外学者研究发现勃起功能障碍（ED）是痛风的并发症之一。然而我国对ED是否是痛风的并发症存在争议，加上国民性观念保守，使得痛风并发ED缺乏重视。本文报道1例痛风性关节炎并发ED的病例，并结合相关文献复习痛风与ED的相关关系、潜在机制以及诊治方向，为全科医生提供警示和参考，以期在今后的防治过程中减少此类情况的发生。

Gouty Arthritis Complicated with Erectile Dysfunction：a Case Report and Literature Review

Gouty arthritis is an illness that easily to recur or relapse，typically featured with the deposition of urate in the involved arthrosis and adjacent tissues.Patients with gout have a high risk of complications，to name a few，cardiovascular disease，hyperlipidemia，obesity，chronic renal disease and diabetes mellitus.Erectile dysfunction （ED）has been found to be a complication of gout by increasing foreign scholars recently，but in China，there exists a controversy over whether ED is associated with gout.Besides，ED in gout may often be neglected due to Chinese people's conservative attitude towards sex.We discussed the association of gout and ED，possible pathogenesis and diagnosis and treatment of ED in gout based on the report of a case encountered by us and the results of literature review，to offer useful information and warnings to general practitioners to increase the appropriateness of preventive and therapeutic interventions delivered to such patients.