Yale David Koskoff, M.D.; Leslie E. Morris, M.D.; Lowell G. Lubic, M.D.
JAMA. 1953;152(1):37-38. doi:10.1001/jama.1953.63690010013007h.
Text Size: A A A
Published online

Since the disease was first recognized as a clinical entity by Sydenham in the 17th century, gout has attracted considerable attention. The protean nature of the disease has been described in detail by numerous observers. Contemporary descriptions emphasize that the basic process of the disease is the deposition of sodium urate in the mesenchymal tissues of the body. From the wealth of available literature, it appears that these acicular crystals are deposited in all but a few tissues. The commoner articular sites in which they are deposited include the joints of the feet, ankles, and wrists. Less commonly involved are the elbows, knees, shoulders, hips, sacroiliac, and sternoclavicular joints and the articulations of the spine. Abarticular tophi are classically found in the ears, the prepatellar and olecranon bursae, and the tendons of the fingers, wrists, toes, ankles, and heels. Deposition in the interstitial tissue of the kidney is not unusual.


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.