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Article
September 1943

MILESTONES IN THE DIAGNOSIS AND TREATMENT OF GOUT

Arch Intern Med (Chic). 1943;72(3):377-387. doi:10.1001/archinte.1943.00210090078007
Abstract

Gout is one of the oldest diseases recorded. A description of it is found as early as the fifth century B. C. in the writings of Hippocrates.1 Despite its antiquity, there is much that is still unknown. The term gout is derived from the Latin gutta, a drop. According to Antonius Guainerius,2 of the faculty of Pavia (fifteenth century), gutta signifies a humor that trickles downward from the head on some internal organ. It also indicates an articular pain, because the humor enters the joints in a manner resembling raindrops dripping from trees and housetops. The Greeks called gout [ill] (a trap), because it grips the patient's foot as a trap grips the foot of an animal.3

The first use of the term gutta to designate gout is erroneously credited to Ralph Bocking (Radulphus),4 who about 1270 wrote a biography of St. Richard of Wyche, bishop

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