Unusual Clinical Presentations of Gout

Tony C. Ning; Robert T. Keenan

Disclosures

Curr Opin Rheumatol. 2010;22(2):181 

In This Article

Saturnine Gout

Gout that is caused by lead toxicity is called saturnine gout. It is named after the Roman God Saturn, whose Roman festival was associated with heavy-wine drinking from presumed lead-lined goblets. Clinically, patients with saturnine gout tend to present with signs of lead toxicity prior to crystal-arthropathy manifestations, which can include abdominal pain, nerve palsies, and renal failure.[17,18] Fortunately, the incidence of saturnine gout in the United States and many countries in the western world has decreased due to public health interventions and lead-toxicity awareness; but unfortunately, the prevalence in other parts of the world including Central and South America, Southeast Asia and the Western Pacific remains high.[19]

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