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September 8, 1928

Gicht und Rheumatismus.

JAMA. 1928;91(10):749. doi:10.1001/jama.1928.02700100061039

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This booklet sums up in an admirable manner our knowledge of gout. The complicated metabolic processes which are fundamental to this disturbance are admirably treated, and the results of the chemical studies of uric acid metabolism are thoroughly summed up. The surprising feature of the disease is, of course, the comparatively normal blood levels of uric acid found in most sufferers and the contrast with the deposits in the tissues. The assumption seems warranted that there is no interference with the elimination through the kidneys in gout, especially since injected uric acid is rapidly eliminated. Of course, the final answer to this problem is still to be given. In the section on therapy, perhaps undue emphasis is laid on the treatment in various bath institutions and springs. The author seems to believe that the benefit derived from such measures is largely from the enormous amount of water ingested and general

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