Abstract
To the Editor: Severe hypouricemia (values below 1 mg per 100 ml) is rarely found in persons who have not ingested drugs that enhance uric acid excretion or reduce its synthesis. The following case is therefore of interest.A 52-year-old woman had a one-month history of malaise and progressive dyspnea. She had taken digoxin for five months and had smoked 20 cigarettes per day for 20 years. A chest film disclosed infiltrates of the right middle and lower lobes that failed to clear with ampicillin therapy. The serum sodium was 133 to 139 mEq, and the chloride 96 to 107 . . .