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Basketball Star Details His Struggle With Gout


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In February, Cheeks' fourth acute attack of gout triggered inflammation so severe he had to coach several 76ers games with one shoe on and one shoe off. For many people, an attack can turn the mere act of standing and walking into an unmanageable ordeal.

Today, gout is the most common form of arthritis among men over 40. Women also suffer from the condition, but typically after menopause, according to GUAES.

Obesity and the excessive consumption of purine-rich foods -- such as meats, shellfish, and hard liquor and beer -- have long been associated with a risk for gout. And portly figures of history, such as Henry VIII, Benjamin Franklin and Isaac Newton -- all suffered from gout, popularizing the view that it's an illness of the privileged and out-of-shape.

Text Continues Below



"But [Maurice Cheeks] defies the stereotypes," said Dr. N. Lawrence Edwards, chairman of GUAES, and vice chair of the department of medicine at the University of Florida, who spoke at the press conference.

While diet does play some role in who get gout, genetics is a major factor, with one in four people having a family history of gout, Edwards said.

"There is an assumption that this is a self-inflicted disease," noted Edwards. "That's the stereotype out there. But clearly Coach Cheeks represents none of this. It's an equal opportunity employer. It affects all strata of society."

Edwards agreed that lifestyle changes, such as keeping in shape and watching one's diet, could help somewhat reduce -- though probably not eliminate -- the risk for acute attacks among people with high levels of uric acid.

He stressed the importance of seeing a doctor and getting a uric acid reading for those who've experienced an attack -- with the aim of getting the serum acid level below the danger point of 6.8 mg/dL. And for many patients hovering above the cut-off, effective medications may be the most effective way to fight back, he said.

"If any of you ever had [gout], you would know you would try to do everything possible to try and prevent it," Cheeks said with a wry smile. "Because once it's full-blown, there's not a whole lot you can do."

More information

To learn more, visit the Gout & Uric Acid Education Society.

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Last updated 5/23/2008

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SOURCES: Maurice Cheeks, head coach, Philadelphia 76ers; N. Lawrence Edwards, M.D., chairman, Gout & Uric Acid Education Society, and vice chair, department of medicine, University of Florida, Gainesville


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