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Abstracts |

Urate Urolithiasis in Primary and Secondary Gout.

A. B. Gutman, M.D., F.A.C.P.
Ann Intern Med. 1963;58(4):741-742. doi:10.7326/0003-4819-58-4-741_4
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The incidence of uric acid stone in patients with primary gout in the United States is variously reported as between 12 and 18%, in secondary gout up to 40%. This incidence is far higher than that of the population at large, since about 0.5 to 1% of hospital admissions are for renal lithiasis, of which uric acid stones in adults account for 5 to 10%. The reasons for this marked predilection for urate urolithiasis in gout are not altogether clear, but certain correlations can be made. In primary gout, the incidence of urate stone is higher in overexcretors of uric


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