With high uric acid, is there bound to be gout? "This is a question that many friends with elevated uric acid especially want to ask. Even some friends with elevated uric acid are afraid that they will develop gout. So, is it true that people with elevated uric acid will inevitably develop gout? To answer this question, Dr. Zhang explained it clearly to everyone from different angles.
First of all, how can China's latest authoritative guide say this? In the "China Hyperuric Acid and Gout Diagnosis and Treatment Guidelines 2019 Edition", it is pointed out that according to the analysis of relevant medical research, the overall prevalence of hyperuricemia in Chinese is now 13.3%, while the incidence of gout is 1.1%. Looking at it this way, it is not difficult to see that not all people with high uric acid end up with gout. Related studies have shown that the incidence of gout in people with blood uric acid less than 360 μmol/L is 1.3%, the incidence of gout in people with uric acid levels of 360 ~ 480 μmol/L is 3.2%, and when uric acid is above 480 μmol/L, the prevalence of gout is 17.6% (almost 17 times higher than normal people). It can be seen that elevated uric acid is the material basis that causes gout, and the higher the uric acid, the higher the incidence of gout.
Laboratory test for elevated uric acid
However, it has also been found that not all people with elevated uric acid eventually develop gout. Because the onset of gout, in addition to the increase in uric acid, but also related to the internal environment of the human body, the fluctuation of uric acid and many precipitating factors, such as diet, alcoholism, fatigue and other factors.
To put it more colloquially, high uric acid does not mean gout. Uric acid itself is a physiological indicator of the existence of all people, and the specific normal value is also a conclusion reached by people after many medical studies, or it is an artificial regulation. If someone has a long-term increase in uric acid, it is easy to have some diseases caused by elevated uric acid, the most common of which is gout. However, in addition to gout, cardiovascular and cerebrovascular diseases are also a huge hazard after elevated uric acid. In fact, in the understanding of this problem, we can understand uric acid as creatinine, high uric acid as elevated creatinine, and gout as uremia. We're not saying that creatinine is elevated, it's uremia. It can only be said that people with elevated creatinine, if not controlled, have a greater chance of developing uremia in the later stage. It is estimated that with such an explanation, many people will understand.
Finally, to sum up for everyone, people with high uric acid do not necessarily have gout. People who develop gout do not necessarily have particularly high uric acid. However, if the elevated uric acid is not managed for a long time, it is likely to eventually develop gout, and it will also increase the incidence of cardiovascular and cerebrovascular diseases. Therefore, the high uric acid can not be ignored, if the uric acid has been elevated, or should pay special attention to improving the lifestyle, such as low purine diet, more drinking water, pay attention to physical exercise, etc., if necessary, under the guidance of a professional doctor formal treatment.
I hope this article can help those who have high uric acid but do not pay attention to their uric acid problems. First of all, it should be recognized that high uric acid also needs to be treated, and lifestyle improvement is necessary, while at the same time, it needs to be treated under the guidance of a professional doctor if necessary. If you think this article is not bad, you can forward it to your relatives and friends who have high uric acid around you to benefit more people.