Portal de Periódicos da CAPES

Fulminating fatal gout

1949; Elsevier BV; Volume: 6; Issue: 4 Linguagem: Inglês

10.1016/0002-9343(49)90241-7

1555-7162

Hunter Spitz, Otto Steinbrocker, S. Schwartz, Marilyn T. Schittone,

Muscle and Compartmental Disorders

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.