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Zoltan S. Kiss, MB, BS; Francis C. Neale, PhD, FRIC, MC Path; Solomon Posen, MD, MRCP, FRACP; Con S. Reed, MB, FRACP

Arch Intern Med. 1967;119(3):279-282.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

HYPERURICEMIA and gout occur in association with a number of systemic disorders.^1-6 These include conditions not obviously related to uric acid metabolism such as psoriasis,⁷ diabetes mellitus,^8,9 Von Gierke's disease,¹⁰ and sarcoidosis.¹¹

More recently, several authors^12-16 have also reported on the occurrence of hyperuricemia and gout in patients with hyperparathyroidism. In some cases,^13,14,16 high serum uric acid levels with or without arthritis preceded parathyroidectomy, while in others^13,14 hyperuricemia occurred for the first time following this operation. One patient with hyperparathyroidism¹⁵ developed acute arthritis, without evidence of altered uric acid metabolism.

The cases of four further patients in whom acute arthritis or hyperuricemia occurred after parathyroidectomy, are reported in this paper.

Report of Cases

CASE 1.

—A 65-year-old drapery store owner presented with vague lower abdominal pain of four years' duration. A plain x-ray film of the abdomen showed calcification in both renal areas and she was admitted to hospital in . . . [Full Text PDF of this Article]

Author Affiliations
Sydney, Australia

From the Department of Medicine, University of Sydney and Sydney Hospital, Sydney, Australia.

Footnotes
Received for publication Sept 8, 1966; accepted Nov 21.

Read in part before the Annual Meeting of the Royal Australasian College of Physicians, Adelaide, South Australia, May 1966.

Reprint requests to Sydney Hospital, Macquarie St, Sydney, Australia (Professor Posen).

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