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Gout second edition. John H. Talbott M.D. New York and London grune and stratton 1964 272 pp. 78 illustrations. price 8.50

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ED. By Sir Walter Mercer, M.B., Ch.B. (Edin.), P.P.R.C.S.
(Edin.), F.R.S. (Edin.), Professor Emeritus, Orthopaedic Surgery, University of Edinburgh and Robert B. Duthie, M.B., Ch.M., F.R.C.S. (Edin.), PTOfeSSOr and C h a i m n of
Orthopedic Surgery, University of Rochester School of Medicine, Baltimore, The Williams
and Wilkins Company, 1964. 1040 pages, 7%’’ Y 9 % ” (18 x 24 em.) 585 illustrations,
no colored plates. $24.50.
This classic text of orthopaedic surgery has been improved considerably over the previous
editions by the addition of a new co-author, Robert B. Duthie. The introductory chapter
m d the subsequent chapter on the musculo-skeletal system are quite basic and well-written.
There is a good chapter on congenital diseases and the illustrations are quite clear. The
material on bone tumors is brief but covers the high points of the subject. The general
concepts presented in the chapter on chronic arthritis are up to date but not complete for
those interested primarily in arthritis.
The book in general covers a great deal of orthopaedics and is an excellent text or reference for the student, resident, or physician who must deal with orthopedic problems in his
practice. A reference list is included at the end of each chapter for additional reading
on the subject.-Leonard Marmor, M.D.
GOUT,Second Edition. John H . Talbott, M.D. New York and London, Grune and Stratton, 1964, 272 pp., 78 illustrations. Price $8.50.
Gout is a fascinating disease. It is subtle biochemically and blatant clinically. It has
an ancient and honorable history. It is generally easy to diagnose and easy to treat, and
yet is commonly misdiagnosed and mistreated. In spite of intensive recent research, much
still remains to be learned about its pathophysiology.
Dr. Talbott has been a leading figure in the study of gout and of its attendant metabolic
abnormalities for more than thirty years. He has contributed comprehensively both to
the understanding of clinical gout and to the exploration of its pathogenesis. This second
edition of his monograph “Gout” is the culmination of his work.
Among the multifold virtues of the book is the evidence in the clinical chapters of
Dr. Talbott’s extensive personal experience with patients with gout. More than forty
brief case reports illustrate and emphasize points made in the text. Similarly in the
chapters on therapy and on clinical pharmacology of anti-gout agents, Dr. Talbott’s vast
knowledge and vigor contribute greatly. The sections on pathophysiology and indeed the
entire book also reflect Dr. Talbott’s continued critical appraisal of the literature on gout.
Among the more than 500 references are some as current as late 1963.
“Gout” is a lucid, easy-to-read monograph which reflects well its author’s enthusiasm
and his many years of laboratory investigation and clinical experience.-Stanley
Walhce, M.D.
edited by W . S . C . Copeman, O.B.E., T.D., M.D.,
F.R.C.P., Senior Physician Arthur Stanley Institute, Middlesex Hospital; Physician in
Charge Department of Rheumatic Diseases, W e s t London Hospital. President, Arthritis
and Rheumatism Council for Research. E. & S. Livingstone Ltd., 1964. 9%‘’ x 6%” (25
x 17 cm.), 376 illustrations, some in full color. $17.50.
This is the third edition of this excellent book. The contributors include many Qf the
well-known workers and practitioners in the field of arthritis and related disorders. All are
The first chapter is an historical survey, and is particularly excellent in view of Dr.
Copeman’s well-known interest in this field. The classification used as a framework for the
book will be of interest to American readers in that it is the official one of the International
League Against Rheumatism, as revised up to 1960. There is much to recommend this
classification over the so-called official classification of the American Rheumatism Associa91
tion. A useful clinical one as proposed by a committee of the Royal College of Physicians
( 1936) is also given.
The basic anatomical and physiological aspects of the diseases are extremely well portrayed. There is a good chapter on pain written by one of the foremost authorities in this
field. The anatomy and physiology of joints are well covered. Following these are chapters
on physical environment, epidemiology, and autoimmunity and genetics. After the various
entities are described, there follow good chapters on diagnosis and treatment.
The number of pages devoted to therapy appears to me to be much less than in Cornroe’s
Arthritis (as edited by Hollander and collaborators). Also, the descriptions of management
are less easy to comprehend than in the latter book. The box type of presentation originally
used by Comroe in the very first edition and retained by subsequent editors appears to this
reviewer to be eminently successful, giving the practitioner and internist a quick and easy
comprehension of the management of the various entities.
The rapid obsolescence of medical books these days is a sad feature of the current scene.
This book may be taken as a possible example. Issued late in 1964, one finds that the freshest bibliographic references are for 1962 (with rare exceptions). Assuming that the interval between the three editions will be maintained (1948, 1955, and 1964), the material
will be about 9 to 11 years old before the next edition is available. The same charge can
be made against most textbooks, however. In the future they will have to b e supplemented
by MEDLARS, the computer operation for indexing and retrieving medical literature, as
well as other techniques now being assiduously studied.
It is the opinion of this reviewer that the serious student of the field will be well advised to add this book to his library, as the material will very effectively supplement the
standard textbooks published here in the United States.
Edward F . Hartung, M.D.
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london, second, 1964, 272, stratton, price, talbot, new, john, edition, york, gout, illustration, grund
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