Gout, with a section on ocular disease in the goutyLlewellyn, Llewellyn J. (Llewellyn Jones)
Science
Gout, with a section on ocular disease in the gouty
Llewellyn, Llewellyn J. (Llewellyn Jones)
Eye -- Diseases; Gout
Gideon Wells states that in normal individuals the tissues contain but
little uric acid, and this not in quantities sufficient to permit readily
of its isolation in a pure state. Albeit, Wells found considerable
amounts of uric acid in the tissues of a young woman who, in sequence to
poisoning with HgCl₂, died after complete suppression of urine for nine
days.
TABLE I.—CONCENTRATION OF URIC ACID IN HUMAN TISSUES AND FLUIDS PER 100
GRAMS OF MATERIAL
------------------+-------+-------+-------+---------+---------+
Case. | E. E. | T. D. | S. H. | M. F. | C. M. |
|Uremia.|Uremia.|Uremia.|Diabetes.|Diabetes.|
------------------+-------+-------+-------+---------+---------+
| mg. | mg. | mg. | mg. | mg. |
Blood | 15·4 | 14·3 | 17·0 | 0·7 | 0·7 |
Pleural fluid | 16·7 | 15·9 | | | |
Ascitic fluid | 18·0 | | | | |
Pericardial fluid | | 14·3 | 18·0 | | |
Subcutaneous fluid| 18·0 | | | | |
Spinal fluid | 2·8 | 2·0 | 4·7 | | |
Skeletal muscle | 8·0 | 3·9 | 5·8 | 0·7 | 2·6 |
Heart muscle | 10·0 | 7·3 | 8·8 | | 1·2 |
Liver | 18·0 | 15·6 | 11·5 | | 5·0 |
Spleen | 12·6 | 14·3 | 9·1 | | 1·2 |
Skin | | 13·0 | | | |
------------------+-------+-------+-------+---------+---------+
------------------+-----------+----------
Case. | S. T. | H. J.
|Amputation.|Pneumonia.
------------------+-----------+----------
| mg. | mg.
Blood | 0·7 |
Pleural fluid | |
Ascitic fluid | |
Pericardial fluid | |
Subcutaneous fluid| |
Spinal fluid | |
Skeletal muscle | 2·0 |
Heart muscle | |
Liver | | 4·0
Spleen | | Trace
Skin | |
------------------+-----------+----------
TABLE II.—CONCENTRATION OF URIC ACID IN MISCELLANEOUS HUMAN TISSUES PER
100 GRAMS OF MATERIAL
-----------------+------------
Tissue. | Uric acid.
-----------------+------------
| mg.
Pectoral muscle | 2·5
Uterine muscle | 2·0
Uterine muscle | 2·5
Uterine muscle | 1·2
Mixed tonsils | 1·7
Thyroid | 0·0
-----------------+------------
Again, as before alluded to, Bass and Herzberg found that intravenous
injection of uric acid caused less _uricæmia_ in the _gouty_, despite
diminished renal excretion. Hence, they concluded that _in gout the
retention capacity of the tissues for uric acid is augmented_.
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