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We also thank Drs Tobias Bruegmann, Eicke Latz and Philipp Sasse from University of Bonn for scientific discussions, Dr Fernando Pereira de Almeida from Federal University of Rio de Janeiro for assistance with microscopy image acquisition, Sandro Torrentes da Cunha from Federal University of Rio de Janeiro for assistance with histology preparations and Dr Bernardo Tura from Brazilian National Institute of Cardiology for assistance with the statistical analyses

INR, Indian rupees (100 Indian rupees = $2 at the time of the study)

1 The relationship between co-morbidities and gout is complex

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Slipping rib syndrome occurs when one of the lower ribs, most commonly ribs 8, 9, or 10, becomes excessively mobile due to weakened or injured ligaments that stabilize the rib cage

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