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
The recorded increases in endogenous urinary purin are, they consider,
far too great to be the outcome of the stimulation of so small a
proportion of the cells of the body as those of the digestive tract. On
the other hand, they do not deem it necessary to assume that the whole
of the endogenous uric acid is the outcome of _nuclear_ disruption,
concurring with Burian’s view, that a moiety thereof may be derived from
the _hypoxanthine_ of _muscular_ tissue.
ENDOGENOUS URIC ACID EXCRETION
The researches of Leathes and his collaborators permit the deduction that
endogenous uric acid excretion bears a definite relation to the activity
of cellular processes. Given unchanged physiological conditions, _e.g._,
muscular exercise, the amount of the endogenous uric acid excreted is,
for the same individual, fairly _constant_, and this _irrespective of
diet_; but it is not the same for _different_ individuals, even those of
identical body weight.
According to MacLeod, the endogenous excretion in an adult man fluctuates
between 0·12 and 0·20 per cent. purin nitrogen. The average daily
endogenous uric acid output of a normal adult, as stated by Walker Hall,
is about 0·5 gram, while that of a gouty individual is 0·45 gram.
Now Burian and Schur’s original contention was that, in a given
individual on a _purin-free_ diet, the endogenous purin output was
_constant_, and this despite _marked_ variations in the amount of the
purin-free food digested.
Recent researches, however, of Folin and of Hopkins and Hope, indicate
that this dictum must be modified to this extent, viz., that although it
is true that the endogenous excretion continues remarkably constant, with
_moderate_ variations in the amount of purin-free food, it is not so in
the presence of _marked_ variations.
The subject (Hopkins and Hope), after a fast of six hours, was given a
meal of bread and potatoes, and at every subsequent hour estimates were
made of the amount of _urea_ and _uric acid_ excreted in the urine.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account