2.5.3 影像

    2.5.3.1 肿痛关节或滑囊处有尿酸沉积的影像证据 超声见双轨征或双能CT(dual-energy computed tomography，DECT)见尿酸沉积，有(无论超声或DECT阳性)4分，无法做0分。

    2.5.3.2 有痛风相关关节破坏的影像证据 手和/或足传统放射片显示至少1处侵蚀，有4分，无法做0分。

    3 参考文献

    [1]Clements PJ，Tashkin D，Roth M，et al.The Scleroderma Lung Study II (SLS II) Shows That Both Oral Cyclophosphamide (CYC) and Mycophenolate Mofitil (MMF) Are Efficacious in Treating Progressive Interstitial Lung Disease (ILD) in Patients with Systemic Sclerosis (SSc) [J].Arthritis Rheumatol ......