Again, acute and chronic _pharyngitis_ are proverbially common in “gouty” subjects. Moreover, in both types the subsidence of the throat affection has frequently been signalised by an articular outbreak of classic site. _Parotitis_, too, has been repeatedly met with in gout, and, according to Luff, “rapidly subsides on the appearance of regular gout in one or more joints.” In truth, whether we peruse recent or older works on gout, we cannot fail to remark the unanimity of opinion as to the frequency of incidence of these _glandular_ affections—these states of _oral sepsis_—in the subjects of _gout_. Equally noteworthy is their insistence on the constancy with which such local affections have proved harbingers of oncoming _articular_ outbreaks. Lastly, the mere fact that our forefathers dignified these local disorders with special appellations, “gouty” tonsillitis, pharyngitis, etc., is cogent proof that they regarded them as among the integral features of gout. Now, as to the true significance of these acute _glandular_ affections, held by clinicians of repute to be of “gouty” origin. What of “gouty” tonsillitis, pharyngitis, etc.? Still more, what of our deductions regarding the relationship of these same when met with in association with other joint disorders? Do we not hold them each and all as evidences of _infection_—“acute rheumatism,” “gonorrhœal arthritis,” etc.?—and we may well ask, Why not in _gout_? Says Duckworth, “Angina tonsillaris—very painful but not suppurating—may in the gouty suddenly yield to an acute articular attack.” Is it not here more than likely that the tonsil was the initial site or portal of _infection_, and the arthritis _secondary_ thereto? Is not this same interpretation in all probability true also of all forms of “gouty” throats when followed by _arthritic_ outbreaks? The marvel, then, is that not only have we held, but apparently many still hold, that the tonsillitis, pharyngitis, even the gingivitis—like the subsequent articular lesions—are one and all attributable to the underlying _gout_. We certainly would not do so in the case of any arthritis other than “gouty,” and to my mind the time is ripe for a change of attitude. The “gouty” throats, like the “gouty” teeth, should be regarded not as symptomatic of gout, but _etiologically_ related thereto. We should cease to talk of “gouty” throats, teeth, etc., should renounce the prefix, for there is nothing _specific_ of _gout_ either in the tonsillar, pharyngeal, or dental lesions. We should instead view these various local disorders in their true perspective as _foci of infection_, _causally_ related to the subsequent and _secondary_ “gouty” arthritis.