A very interesting evolution of American medical opinion has occurred with regard to the frequency of gout in this country. A sort of culmination was reached in the recent announcement at the Saratoga meeting from the statistics of Professor Osler's clinic at Johns Hopkins that—among ordinary hospital patients at least—the disease is only one-third more frequent in England than in the United States. Twenty-five years ago there was almost a consensus of opinion among American medical authorities that true gout was rare in this country—so rare, in fact, as compared with its frequency in England, that a typical case of gout occurring in a person not of recent English extraction and without gouty heredity, was considered a medical curiosity. Garrod, the English authority on gout, said that it was a rare disease in America, and Sir Dyce Duckworth declared that our mixed race would keep it out of this country
GOUT IN THE UNITED STATES.. JAMA. 1902;XXXIX(3):139–140. doi:10.1001/jama.1902.02480290023002
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