Tuesday, April 01, 2008

MS, Gout, and Lactose

Via Mathilda37, a paper from 1998 on the inverse relationship between multiple sclerosis and gout:

A possible association between multiple sclerosis (MS), the disease on which EAE is modeled, and uric acid is supported by the finding that patients with MS have significantly lower levels of serum uric acid than controls. In addition, statistical evaluation of more than 20 million patient records for the incidence of MS and gout (hyperuricemic) revealed that the two diseases are almost mutually exclusive, raising the possibility that hyperuricemia may protect against MS.


Here's her analysis:

No-one with MS has gout, no-one with gout has MS[.]
So what? Well, this is really, really important. It means that something about gout effectively puts the brakes on MS, and the causal factor of gout is high uric acid levels in the blood. It turns out that MS sufferers tend to have very low uric acid levels in their blood, and so can’t get gout.
This explains why some of the MS treating diets have worked in the past. They all seem to require ‘no dairy’ . This works because… consumption of dairy products lowers the risk of gout attacks, so you are looking at a factor that lowers blood uric acid levels. The lactose seems to be the real culprit, as cheese and butter didn’t seem to have any effect on the gout sufferers[.]

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