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Previous Volume 332:646 March 9, 1995 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100% of the full text and any section headings.

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Figure 1.

View larger version (40K): [in this window] [in a new window]   Figure 1. Deforming gouty arthritis is evident in a 39-year-old woman who has had anorexia nervosa since the age of 15. Attacks of acute arthritis began at the age of 23; crystals of monosodium urate monohydrate were found in the joints during those attacks. The multiple cutaneous nodules on the distal aspect of the index finger are tophaceous deposits of monosodium urate crystals. Tophi first appeared when the patient was 24.

 

Daniel A. Wuthrich, M.D.
University of Washington
Seattle, WA 98195

Arthur L. Lebowitz, M.D.
Boston University Medical Center
Boston, MA 02118

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