Characterization of gout in a skeletal population sample: Presumptive diagnosis in a micronesian population


  • Bruce M. Rothschild,

    Corresponding author
    1. Arthritis Center of Northeast Ohio, and Western Reserve Care System, Youngstown, Ohio 44512
    2. Northeast Ohio Universities College of Medicine, Rootstown, Ohio 44272
    3. University of Akron, Akron, Ohio 44242
    4. The Carnegie Museum of Natural History, Pittsburgh, Pennsylvania 15213
    • Arthritis Center of Northeast Ohio, 5701 Market Street, Youngstown, OH 44512
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  • Gary M. Heathcote

    1. Anthropology Lab, University of Guam, Mangilao, Guam 96923
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Characterization of the nature and skeletal distribution of gout was accomplished in a Chamoru (Chamorros) population with predilection to the disease. Uniform excavation by the gouty diathesis produces a punched-out appearance to these predominantly monarticular lesions. The lesion is distinct from that seen in rheumatoid arthritis, spondyloarthropathy, or infection. Reactive new bone formation in some gouty lesions also has an apparently unique, ivory-like discoloration (contrasted with the adjacent bone), which facilitates diagnosis. © 1995 Wiley-Liss, Inc.