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January 30, 1926


JAMA. 1926;86(5):362-363. doi:10.1001/jama.1926.02670310044021

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Treatment of Gout  For the last three years the Geneva school has devoted much time to the study of blood dilution in gout. Increase in hydremia causes an acute outburst of the process. Effective prophylactic and therapeutic measures are those which increase the viscosity of the blood. In the treatment of gout the degree of blood dilution, measured by the degree of viscosity, or by any other means, should be ascertained. Furthermore, in a hyperuricemic gouty subject a course of diuretics or alkaline medication (vichy and similar waters) will not cause acute phenomena and therefore may be resorted to without reserve. In the hyperuricemic gouty subject with normal or subnormal viscosity, any treatment must be closely followed in order to prevent an acute outburst. With a dry diet and large amounts of sugar, combined with aperients, the blood viscosity can rapidly be increased. This is the most effective treatment to

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