I

t’s the most common form of inflammatory arthritis in adults, often first appears as a painfully swollen big toe, and used to be called the “rich man’s disease” because sufferers frequently consumed lots of meat, seafood, and alcohol: gout.

Now, Cambridge, Mass.-based drug maker Ironwood Pharmaceuticals Inc., has won approval from the Food and Drug Administration for a pill that can be taken once a day by patients who have not been able to control gout with other treatments.

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  • This would be great for Kim Jong Un. He consumes 10-12 bottles of Bordeaux wine per day, which has given him a bad case of gout, for which he takes hi dose steroids. The end result is steroid psychosis or “roid rage” which, in the words of Donald Fagen may make him much more likely to “push the button down”.

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