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Gout in Its Protean Aspects

Gout in Its Protean Aspects


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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: CHAPTER III. THE PATHOLOGICAL CHANGES WROUGHT BY GOUT. (external Manifestations). The most marked feature of gout is the characteristic changes ifc produces in the joints; especially those of the hands and feet. The Greeks called it podogra foot- seizure, and cheiragra hand-seizure, from its affection for the joints of the extremities. Gout is derived from Goutte, the French of the Latin gutta a drop, hecause it was believed to he produced by a liquid which distilled, goutte a goutte, ' drop by drop ' on the diseased part. This name which seems to have been first used about the year 1270, has been admitted into the different languages of Europe (Dunglisoii). The exceeding appropriateness of the term explains easily its general adoption: for the poison is deposited goutte a goutte into the different tissues which form its seat. Thus Garrod tells us that many persons experience extremely slight attacks of gout before the development of the affection in an acute form, and several of my patients have assured me that for years before their first severe attack in the great toe, they have felt slight periodical twinges. I am of opinion that when such twinges occur, deposition has already taken place. To illustrate this he gives an engraving showing a minute deposit of urate of soda on the surface of a joint. It consists of aspeck of urate of soda on the cup of the phalanx of the great toe; found in a man who died of delirium tremens. Constantly we can understand how, when there is uric acid constantly present in the blood, it is, often very slowly, deposited in its favourite seats, until deformity results, with impaired power of motion. Sometimes the accumulation of urate of soda is very great, forming tuberosities at the joints: especially is this the...


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Product Details
  • ISBN-13: 9780217216821
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 78
  • Spine Width: 4 mm
  • Width: 189 mm
  • ISBN-10: 021721682X
  • Publisher Date: 09 Jul 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 154 gr


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