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ROENTGENOGRAPHIC STUDIES IN GOUT

C. W. McCLURE, M.D.; E. D. McCARTY, M.D.
Arch Intern Med (Chic). 1919;24(5):563-580. doi:10.1001/archinte.1919.00090280094011.
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Certain bony changes are found in the roentgenogram which roentgenologists maintain are pathognomonic evidence of gout. Occasionally roentgenologists of this hospital have made the diagnosis of gout from the roentgen-ray findings in cases in which there were no clinical evidences of that disease. This led to the present investigation, the purpose of which was to establish the diagnostic value of such roentgenographic findings. The latter were first described as occurring in the roentgenogram of the phalanges in a case of gout by Huber1 in 1896. His observations have been confirmed by several other writers. A report by Koehler2 contains some excellent plates and diagrams of the roentgenographic findings considered as peculiar to gout. Drinberg3 in a further contribution to the subject has collected the literature up to 1911. The best articles are those of Strangeways4 and Jacobsohn.5 All writers have agreed that the roentgenographic changes in the bones described by

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