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

  • Roose, Robson, 1848-1905.
Date:
1887
Catalogue details

Licence: Public Domain Mark

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

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    CULLEN’S DEFINITIONS AND VARIETIES. idea is the basis of that theory of the origin of the disease which is most in accordance with well-ascer- tained chemical and pathological facts. If we’wish to define the word “gout,” and to classify the various forms of the affection, we can scarcely do better than adopt Cullen^s language and arrangement. Cullen tells us that gout is hereditary, coming on with- out apparent external causes, but generally preceded by an affection of the stomach ; that it is characterised by pyrexia, by pain at some one of the joints, generally at that of the great toe; certainly attacking by preference the articulations of the feet and hands; returning at intervals, and often alternating with affections of the stomach or other internal parts. Regular gout, Cullen defines as characterised by considerable and violent in- flammation of the joints, continuing for several days, and receding gradually with swelling, itching, and desquamation of the affected part. His second variety is atonic gout, in which there is debility of the stomach or of some other internal part, either without the usual inflammation of the joints, or with slight and tran- sient pain in them, often alternating with dyspepsia or other symptoms of debility. In the third form, retrocedent gout, the inflammation of the joints sud-