The Editorial Executive Committee welcomes letters, which should be less than 250 words. Before a decision to publish is made, letters which refer to a published article may be sent to the author for a response. Any letter may be sent to an expert for comment. When letters are published, they are usually accompanied in the same issue by their responses or comments. The Committee screens out discourteous, inaccurate or libellous statements. The letters are sub-edited before publication. Authors are required to declare any conflicts of interest. The Committee's decision on publication is final.
Letter to the editor
Editor, – In his excellent article 'Management of acute gout' (Aust Prescr 2004;27:10-3) Dr McGill mentioned that 'the acute attack is also an opportunity to assess and manage associated disorders such as obesity, excessive alcohol consumption, hypertension, hyperlipidaemia and renal insufficiency'. He went on to say that 'controlling these problems may prove to be of greater long-term benefit to the patient than controlling their hyperuricaemia', but he does not mention what part a diet low in purines plays, if any, in the long-term management of gout.
Charles Dickens' Mr Pickwick suffered from gout, which was portrayed as being related to his alcohol intake, and this remains the perception of many of our patients.
John A. Comerford
- Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G. Purine-rich foods, dairy and protein intake, and the risk of gout in men. N Engl J Med 2004;350:1093-103.