Hyperuricaemia and gout the value of uric a cid excretion factor

Study of patients having high blood uric acid accompanied with various complaints, and the basis of their treatment. We prospectively reviewed 86 patients with hyperuricaemia presenting with a variety of clinical manifestations. Evaluation of the serum uric acid and the 24-hour uric acid in the urine. From these two items we could find out an equation to denote the uric acid excretion index [UAEI] which guided us in the choice of the maintenance thug therapy in the different groups studied. We could differentiate the patients into three groups: 60 under excretors [69.8%], 10 over producers [11.6%] and 16 normal excretors [18.6%]. We strongly recommend the routine calculation of the UAEI before deciding the long term medical treatment in hyperuricaemia

Simultaneous bilateral stress fractures of the tibiae: a study of four cases

The clinical syndrome of stress fractures can be difficult to identify and diagnosis may be overlooked especially if not suspected.With advances of radiographic techniques and radiostopic studies, it is now possible to diagnose these cases early.Simultaneous bilateral stress fractures were previously reported, though uncommon, to occur in the metatarsals, oscalcis, pubic bones and ribs.We present four cases with stress fractures of the tibia occuring simultaneously on both sides, which we think was not reported beforehand.The pathomechancis of injury, clinical data for diagnosis, and methods of early detection are mentioned