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November 28, 1925


JAMA. 1925;85(22):1741-1742. doi:10.1001/jama.1925.02670220059025

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Skin Reactions Provoked by Certain Wines in Gouty Persons  At times gouty subjects manifest extraordinary sensibility toward provocative influences, especially toward certain foods. Certain physicians have upheld the idea that anaphylaxis might play a part in acute articular gout. Others, however, take the view that attacks of articular gout must be associated with shock. In a recent article, Widal, Abrami and Joltrain have reported the results of their researches of the last three years on the hypersensibility of gouty persons to wine, particularly the red wines of Burgundy, and the skin reactions provoked by these wines in gouty patients. To be sure, this method of approach does not indicate whether the skin reaction reveals anaphylaxis or idiosyncrasy. Furthermore, a patient will sometimes react positively to a substance to which, clinically, he does not appear hypersensitive. But, with these reservations, the skin reaction is valuable and is the only method of

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