A horse bite to remember

MC Brouwer, ES Kasanmoentalib, FWJ Opstelten… - The Lancet, 2010 - thelancet.com
In July, 2007, a 37-year-old woman, who worked at a law firm, presented with a 3-day history
of fever, headache, nausea, and confusion. She had previously been fit and well. Her …

[PDF][PDF] Acute gout in hospitalized patients in Sarawak general hospital

CL Teh, KF Chew, GR Ling - Med J Malaysia, 2014 - e-mjm.org
SUMMARY we performed a prospective study of all hospitalized patients with a diagnosis of
Gout in Sarawak General hospital from 1st July 2011 to 1st July 2012. There were a total of …

Risk of gout attack not increased in patients with thalassemia: a population-based cohort study

JW Chen, Q Xu, PD Yang, JY Huang, JCC Wei - Scientific Reports, 2023 - nature.com
The incidence of gout arthritis in patients with thalassemia and the association between
them was indefinite. We aimed to give epidemiological evidence regarding the association …

Fructose as a significant cause of gout is unfounded and premature

JS White - QJM: An International Journal of Medicine, 2012 - academic.oup.com
Sir, In a recent review, Suresh and Das 1 reviewed current advances in the management of
gout and highlighted fructose ingestion (in addition to alcohol and dietary purines) as an …

An unusual cause of bleeding

RS van Rijn, LF Verdonck - The Lancet, 2001 - thelancet.com
In September, 2000, a previously healthy 44-year-old woman was admitted with a large
haematoma of the right leg (figure A). Six weeks before admission she had noticed several …

Gout: a comprehensive review

E Rymal, D Rizzolo - Jaapa, 2014 - journals.lww.com
The prevalence of gout in the US population is steadily increasing. Genome-wide research
has found several variants of DNA sequences that predispose patients to irregular uric acid …

Making the right thing the easy thing to do: strategies to improve outcomes in gout

N Dalbeth, S Reid, LK Stamp, B Arroll - The Lancet Rheumatology, 2019 - thelancet.com
The burden of gout is increasing worldwide. Although urate-lower ing drugs have been
available for more than half a century, the initiation and persistence of urate-lowering …

Acral retiform purpura

JY Li, D Ivan, AB Patel - The Lancet, 2017 - thelancet.com
A 68-year-old man with a 10-year history of progressive IgG λ multiple myeloma and chronic
kidney disease presented with a 3-week history of a painful rash on both his soles and …

Is raised serum uric acid a cause of cardiovascular disease or death?

A Dobson - The Lancet, 1999 - thelancet.com
Unlike most mammals, human beings do not have the enzyme uricase that breaks down uric
acid to a water-soluble form that is easily excreted. Instead, uric acid is filtered and …

Gout: can we create an evidence-based systematic approach to diagnosis and management?

LX Chen, HR Schumacher - Best practice & research Clinical rheumatology, 2006 - Elsevier
The management of gout can be subdivided into four phases. Asymptomatic hyperuricaemia
represents the basic underlying metabolic abnormality that can lead to gout. Studies are …