Excerpt from St. George's Hospital Reports, 1870, Vol. 5
The antagonism of osteo-arthritis to albuminuria is even more striking. I examine the urine of every pa tient who consults me in private practice, and thus can testify to the condition of the urine in many hundred cases of rheumatic gout; but I have never met with an instance of albuminuria associated with this form of ar ticular disease. This is the more remarkable from the fact that albuminuria, to a greater or less extent, is met with in nearly 25 per cent of all cases of acute disease, and in a considerable proportion of chronic disorders; and may be regarded almost as the natural accompani ment of old cases of chronic gout, in which deposits of urate of soda have taken place in the joints - cases which are too often confounded with osteo-arthritis, in conse quence of the distortion of the joints which accompanies the latter form of disease. Indeed the contrast afforded by the condition of the urine in cases of osteo-arthritis and in those of chronic gout may often serve as a means of diagnosis between the two disorders. In the one the urine is usually of normal specific gravity, and never albuminous; whereas in the other the specific gravity is usually much below the normal standard, the presence of albumen is not uncommon, and when chalk-stones are present is almost constant.
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