translation.en: Gout, in its most malignant stage, it would appear, had seized me without my being aware of it; and zymosis I had evidently been suffering with from boyhood.
translation.sv: Gikt hade drabbat mig, i sin allra mest allvarliga form, uppenbarligen utan att jag varit medveten om saken; och zymosiska sjukdomar hade jag tydligen lidit av sedan pojkaren.