Abstract
Gout complicating cyanotic congenital heart disease is described in 9 patients, 8 men and 1 woman. All were adults, the youngest being 18 and the oldest 69. Fallot''s tetralogy was present in 4 of the 9 patients. The incidence of gout in cyanotic congenital heart disease is greater than in the general population. In all the patients studied, the hemoglobin was over 130% and the serum uric acid more than 6 mg/100 ml at the time of the first attack. The development of gout is related to the degree of elevation of hemoglobin and to the age of the patient. The presence of renal disease may be responsible for its occurrence particularly in patients under 25.