Port wine and the gout.
Port wine and the gout.
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波特酒和痛风。
DOI：
10.1002/art.1780180704
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发表时间：
1975
影响因子：
--
通讯作者：
L. A. Healey
中科院分区：
文献类型：
--
作者：
L. A. Healey
痛风与富裕生活的联系是我们传统中最古老和最受欢迎的。它反复出现在十七、十八、十九世纪的英国医学著作以及通俗文学中。布莱克莫尔的说法很有代表性，他说：“痛风的产生要归功于美食家的餐桌和对美味葡萄酒的滥用。”当著名的漫画家罗兰森（Rowlandson）、克鲁克尚克（Cruickshank）和吉尔雷（Gillray）描绘一只裂开的鞋子或一只绑着绷带的脚躺在痛风凳上时，他们立即被观众认出是贵族和上层阶级的象征（图1）。今天，我们倾向于将这种观点视为民间传说而不予理会，或者傲慢地将其归因于夸大和误诊。然而，要否定阿尔弗雷德·巴林·加罗德（Alfred Baring Garrod）的观察并不容易，他被称为现代风湿病学之父，因为他的贡献包括用巧妙的线试验证明了尿酸的结晶，认识到使他能够区分类风湿关节炎为独立实体的临床特征，并为这种疾病命名。
The association of gout with rich living is one of the oldest and most popular in our tradition. It recurs throughout English medical writing of the seventeenth, eighteenth, and nineteenth centuries as well as in popular literature. Typical is the statement of Blackmore that “gout owes its production to the Table of the Epicure ant1 the Abuse of delicious wine.” When the celebrated caricaturists Rowlandson, Cruickshank, and Gillray portrayed a split shoe or bandaged foot resting on the gout stool, they were instantly recognized by their audience as devices indicating nobility and upper classes (Figure 1). Today we tend to dismiss this idea as folklore or patronizingly ascribe it to exag-geration and misdiagnosis. It is not so easy, however, to dismiss the observations of Alfred Baring Garrod, who has been called the father of modern rheumatology for such contributions as demonstrating the crystals of uric acid with his ingenious thread test, recognizing the clinical characteristics that enabled him to distinguish rheumatoid arthritis as a separate entity, and giving this disease its name.