Case report
Fulminating fatal gout

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Abstract

  • 1.

    1. An unusual case of fulminating gout which occurred in a middle-aged Chinese male is reported. It was of remarkably short duration and exceptional severity, associated with phlebosclerosis, calcification and thrombosis of the portal vein, splenomegaly and anemia.

  • 2.

    2. The unusual clinical and anatomic features of the gouty lesions are discussed.

  • 3.

    3. The occurrence in the tophi of two types of urate crystals is described.

  • 4.

    4. The extent and character of renal lesions are emphasized in the absence of clinical evidence of renal failure.

  • 5.

    5. The association of gout and splenic anemia is discussed and reference is made to similar cases reported in the literature.

  • 6.

    6. Suggestions in other reports about the possible relationship of anemia and gout are reviewed.

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  • 1

    From the Laboratory of Pathology and the Fourth Medical Division (N.Y.U.), Bellevue Hospital, New York, N. Y.

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