To the Editor.
—Polycythemia that occurs secondary to chronic hypoxia is a well-known accompaniment of chronic obstructive lung disease.1 The frequency of hyperuricemia in this setting has been reported recently.2 One case of gout and secondary polycythemia secondary to chronic obstructive pulmonary disease has been described by Lewis.1 Another similar case is described herein.
Report of a Case.
—A 63-year-old man with a history of chronic obstructive pulmonary disease for 20 years was admitted to the hospital complaining of shortness of breath. His medical history included ankle pains off and on for ten years that had been diagnosed as gout after uric acid crystals were seen in synovial fluid. He had been successfully treated with colchicine. He had no family history of gout, nor was there any history of hypertension, alcoholism, renal dysfunction, or any drug ingestion in himself except allopurinol.Physical examination showed a moderately obese