There are practically no published statistics as to the occurrence of gout in the United States, so that it is difficult to form any accurate idea regarding the relative frequency of the disease in America as compared with Great Britain and the continental countries. In a careful search of the "Index Catalogue" I have failed to find any reference on this point. There is a very prevalent impression among writers on gout, particularly the English authorities, that the disease is extremely rare in the United States. Thus, Sir Dyce Duckworth,1 writing in 1889, makes the statement that "In the United States of America gout is practically unknown. A few cases are met with in the large cities, but, according to Dr. Da Costa of Philadelphia, the disease has not yet developed among the increasing population." Ewart2 speaks of the United States and Canada possessing a considerable immunity from
FUTCHER TB. THE OCCURRENCE OF GOUT IN THE UNITED STATES: WITH AN ANALYSIS OF THIRTY-SIX CASES.. JAMA. 1902;XXXIX(17):1046–1050. doi:10.1001/jama.1902.52480430028001h
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