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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    diminishing in length ; the disease in many cases being really continuous^ but presenting irregular exacerbations and remissions. This chronic stage generally owes its origin to serious implication of the kidneys. Three principal theories are still in vogue with regard to the nature and origin of gout. According to the first of these_, gout is due to digestive anomalies, caus- ing the blood to become loaded with certain morbid elements produced mainly in the stomach and duode- num^ and uniting in the blood with some element of the bile which has been suffered to accumulate through defective secretory action of the liver. This view was supported by the late Dr. Todd,* who admitted, how- ever, that the condition is usually associated with the lithic acid diathesis. The second theory likewise assumes an impure state of blood, but refers this con- dition principally to disturbance of the renal function; Dr. Garrod is the chief supporter of this theory. The third view, that of Cullen, already referred to, has lately been resuscitated. It assumes that the nervous system is primarily at fault in cases of gout. Putting theories on one side for the present, let us * “ Practical Remarks on Gout, Rheumatic Fever, etc.,” p. 74.