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10.1179/147683008x301405 181 RochaC

In this patients case, he is an overproducer of purines and he tends to hit gout attacks about every three to six months

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History of Present Illness One year history of resting tremo r in the right hand Bradykinesia : difficulty with fine motor tasks, micrographia Rigidity : right sided stiffness Gait changes : reduced arm swing, mild shuffling, imbalance Non motor symptom s: hyposmia, constipation, mild sleep disruption Figure 1