烟酸缺乏症合并痛风性肾病1例

摘要

报告烟酸缺乏症合并痛风性肾病1例。患者，男，29岁。因全身皮肤粗糙、脱屑伴腹泻2月余入院。患者双上肢、下肢屈侧可见边缘清楚的水肿性暗红色斑片，部分皮肤剥脱，剥脱面可见淡红色新生皮肤及暗红色脱屑，局部皮肤增厚粗糙。肾功能示尿素氮(BUN)15.85μmol/L，肌酐(Scr)148μmol/L，尿酸(UA)1098μmol/L。%Report a case of pellagra with gouty nephropathy. Patient male,29 years old. For the whole body skin coarse,desquamation with diarrhea 2 months before admission. Patients with double upper limb and lower limb flexor side edge edematous dark red spots clearly visible,part of the skin stripped, stripped surface visible reddish skin and dark red desquamation,new local skin thickening coarse. Renal function in urea nitrogen (BUN) 15.85μmol/L,creatinine (Scr) 148μmol/L,uric acid (UA) 1098μmol/L.