American Chiropractor 1991 Mar; 13(3):12-15
ABSTRACT: As any chiropractic physician is aware, Gout is a disorder of purine metabolism. It is characterized by hyperuricemia and recurrent attacks of acute arthritis which may be chronically deforming. The acute episodes present all of the cardinal signs of inflammation. The affected periarticular structures are red, hot,swollen and exquisitely painful. The joint affectation arises as elevated levels of soluble serum urate precipitates under locally acidic conditions or in bodily regions of relative circulatory stasis, such as may be seen in the more dependent joints of the lower extremities.