Richard Morris Hunt, a distinguished American architect of the late 19th century (the Gilded Age), had onset of gout at age 41 years. His attacks became more frequent and severe, eventually leading to chronic pain and disability. His medical care by highly regarded physicians resulted in very limited benefit, but through his dedication and work ethic, he remained productive until his death at age 67 years.
From the Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.
The author declares no conflict of interest.
Correspondence: Robert S. Pinals, MD, 18 Pickman Dr, Bedford, MA 01730. E-mail: firstname.lastname@example.org.