Authors: John R Williams
Publish Date: 1936/06/20
Volume: 106, Issue: 25, Pages: 2178-2178
Abstract
To the Editor— Your answer to the letter of inquiry from Dr Charles Stover The Journal May 2 p 1590 regarding the hazards of metal foil on chocolate is timely Probably the hazard from the use of tobacco packed in foil is quite as great Recently a bookkeeper aged 60 consulted me complaining of selfdiagnosed gout The symptoms and signs were pain in both legs swelling of the base of the right great toe and deposits suggesting tophi at the base of the great toe and the second toe Other symptoms were loss of appetite extreme nervousness muscle twitching and mild weakness According to Peters and Van Slyke lead poisoning has long been recognized as a cause of gout They cite MagnusLevys thirtysix cases of gout thirteen of the patients having definite lead poisoning and six others presumably having it With this in mind the patient was questioned closely as
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