The occurrence of gout in the young and in women is uncommon; for this reason among others the following case is reported.
REPORT OF CASE
A girl aged 17 years complained chiefly of intermittent acute arthritis of the right knee of three years' duration. The family history contained one interesting feature: her mother, at the age of 20, had a uric acid stone removed from the pelvis of one kidney. She has been well since that time and has had no joint symptoms. (Her blood uric acid at present is 4.1 mg,)The onset of the present illness was in the summer of 1936. After an 18 mile ride on a bicycle the patient began to have acute pain and swelling in the right knee. Redness was only moderate but tenderness was of extreme degree. The swelling was around the knee cap and on the sides of the