Hyperuricemia Follow-up

Updated: Aug 31, 2018
  • Author: James W Lohr, MD; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Follow-up

Further Outpatient Care

See the list below:

  • For patients with symptomatic hyperuricemia, provide regular follow-up evaluations with serum uric acid level determinations.

  • For patients with gout, attempt to maintain uric acid levels below 6 mg/dL.

  • For patients with a history of uric acid nephrolithiasis, provide follow-up determinations of 24-hour urine excretion of uric acid to ensure that therapy has helped lower the excretion into the reference range.

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Deterrence/Prevention

Dietary measures that may help prevent hyperuricemia include the following:

  • Avoidance or restricted consumption of high-purine foods (eg, organ meats, sardines)
  • Avoidance of excess ingestion of alcoholic drinks, particularly beer
  • Avoidance of sodas and other beverages or foods sweetened with high-fructose corn syrup

A review of data from the National Health and Nutrition Examination Survey (NHANES) found that in women, higher folate intake was associated with lower risk of hyperuricemia. In men, both higher folate and higher vitamin B12 intake were associated with lower risk. [34]  

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Complications

Possible complications of hyperuricemia include the following:

  • Gout

  • Acute uric acid nephropathy

  • Uric acid nephrolithiasis

  • Chronic renal insufficiency [35]

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Patient Education

Dietary education is important for patients with hyperuricemia. For patient education information, see Diet and Gout

and Uric Acid in Blood.

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