Husband has gout and pernicious anemia. what kind of diet should he be on and what sort of care should he be given?

Low Purine: Plenty of online gout diet guidelines. Avoid alcohol and red meat, as well as lobster/crab. For pernicious anemia, main thing to monitor is the red blood cells, and vitamin B12 levels. Injectable B12 is generally the treatment for anemia that ensues.

Interesting combo: You are implying difficulty because on the one hand the B12 deficiency usually goes with adding meat to diet, while gout goes with removing meat. First, i think supplemental B12 can be given, orally if possible, or injectable if not. Second, low purine diets for gout can be healthy. Here's a guide from mayo clinic: http://mayocl.In/bbgtxs good luck!

Gout diet: B12 injections ongoing. Take in tart cherry juice +tart cherries, 10/day. Add Lemon extract 2 tblspns/day. Avoid alcohol, animal fats, organ meats, anchovies, sardines, tuna, salmon, and shellfish. Limit other meats to 4 oz/day. Avoid high fructose corn syrup containing drinks and foods. Add egg whites, quinoa, soy as protein. Eat lots of citrus fruit and veggies. Drink 3 L /day. Multivit