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October 21, 1983

Hyperuricaemia and Gout in Clinical Practice

Author Affiliations

Veterans Administration Medical Center Washington, DC

JAMA. 1983;250(15):2067. doi:10.1001/jama.1983.03340150099045

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In few areas of clinical medicine are there such effective and practical therapies as those for hyperuricemia and gout; yet, physicians are frequently confused about the correct implementation of treatment. In this soft-covered book, the author attempts to clarify these issues, and to a large extent he succeeds. The text, which is well written, is divided into four sections: the first deals with production and elimination of urate; the second section presents a review of the causes and risks associated with hyperuricemia; the third covers clinical, pathological and radiological aspects of gout; and the final section discusses the management of hyperuricemia and gout. It is perhaps inevitable, given this format, that there is much repetition of information. However, this serves the useful purpose of reinforcing basic principles of diagnosis and treatment.

Several criticisms of this book can be offered. Two chapters are devoted to explanations of the biochemical pathways in