1967～1991年,我们收治痛风性关节炎69例,其中误诊42例,现浅析其误诊原因。1.临床资料:男40例,女2例;平均年龄43.4岁(30～67岁);平均误诊3.2年(1月～15年)。有家族史6例;因劳累、受冷及饮酒等诱发34例,午夜突然发病19例,所有病人均有关节受累,其中多关节受累34例,第一跖趾关节受累28例,膝关节受累19例,踝关节受累12例,手指关节受累15 From 1967 to 1991, we treated 69 cases of gouty arthritis, of which 42 cases were misdiagnosed, and the reasons for their misdiagnosis were analyzed. 1. Clinical data: 40 males and 2 females; the average age of 43.4 years (30 to 67 years); the average misdiagnosed 3.2 years (January to 15 years). Family history of 6 cases; due to fatigue, cold and alcohol induced 34 cases, 19 cases of sudden onset at midnight, all patients had joint involvement, including multiple joint involvement in 34 cases, the first metatarsophalangeal joint involvement in 28 cases, knee involvement 19 cases, ankle joint involvement in 12 cases, finger joint involvement 15