原发性痛风23例初诊时误诊18例,误诊率78.3%,全部为男性患者。平均年龄55.6岁,误诊时间平均9.1年。主要误诊的疾病为风湿性关节炎、类风湿性关节炎、蜂窝组织炎、丹毒及化脓性关节炎等。本文对痛风误诊的原因进行了分析,并对痛风的鉴别诊断及如何提高诊断率进行了讨论。 Twenty-three cases of primary gout misdiagnosed at initial diagnosis were misdiagnosed at a rate of 78.3%, all of whom were male patients. The average age was 55.6 years old, misdiagnosis time average 9.1 years. The main misdiagnosed diseases are rheumatoid arthritis, rheumatoid arthritis, cellulitis, erysipelas and suppurative arthritis. This article analyzes the causes of gout misdiagnosis, and the differential diagnosis of gout and how to improve the diagnosis rate were discussed.