Gout and its relations to diseases of the liver and kidneys / by Robson Roose.

  • Roose, Robson, 1848-1905.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Gout and its relations to diseases of the liver and kidneys / by Robson Roose. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    various lesions of internal organs, due to the exist- ence of the gouty diathesis. Atheroma of the aorta is not unfrequent in chronic cases, and sodium urate has been found in the coats of the vessel. Fatty degeneration of the cardiac walls, due to atheroma of the coronaiy vessels, has also been noticed. It is doubtful whether the valvular deposits frequently found in the hearts of gouty subjects are really due to gouty inflammation, inasmuch as they do not contain sodium urate, but consist, as usual, of phosphate and carbonate of lime. With regard to the lungs, sodium urate has been found in the bronchial walls, and uric acid has been detected in the expectoration in a case of gouty bronchitis. It is, however, in the kidneys of gouty subjects that the most prominent and characteristic lesions are often discoverable, and a close study of these is especially important, as regards not only the etiology, but also the prognosis and treatment of the disease. Gouty nephritis, the so-called gouty kidney, is often found in severe and chronic cases, but a less serious affection not unfrequently compli- cates the slighter manifestations and earlier stages of the disease, and the lesions found in the kidneys may therefore be divided into two classes.