Does high uric acid cause gout? Doctor: Uric acid above 480, 17 times higher than normal

High uric acid, will gout happen? “This is a question that many friends with elevated uric acid 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 definitely develop gout? To answer this question, Dr. Zhang explained it clearly from different angles.

First of all, how can the latest authoritative guide in China say this? According to the “China Hyperuric Acid and Gout Diagnosis and Treatment Guidelines 2019 Edition”, according to relevant medical research analysis, the overall prevalence of hyperuricemia in Chinese is 13.3%, and 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 eventually develop gout. Relevant studies have shown that people with blood uric acid less than 360 μmol/L have a 1.3% chance of developing gout, and those whose uric acid level is 360-480 μmol/L have a 3.2% chance of developing gout. The prevalence was 17.6% (almost 17 times higher than normal). It can be seen that elevated uric acid is the material basis for gout, and the higher the uric acid, the higher the risk of gout.

Laboratory sheet for elevated uric acid

However, it has also been discovered that not all people with elevated uric acid eventually develop gout. Because the attack of gout is not only related to the increase of uric acid, but also related to the internal environment of the human body, the fluctuation of uric acid and many triggering factors, such as diet, alcoholism, fatigue and other factors.

To put it more simply, high uric acid does not mean gout. Uric acid itself is a physiological indicator that exists in all people, and the specific normal value is also a conclusion drawn by people through many medical studies, or an artificial regulation. If someone has a long-term increase in uric acid exceeding the standard, they are prone to 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, everyone can understand uric acid as creatinine, high uric acid as increased creatinine, and gout as uremia. We’re not talking about elevated creatinine or uremia. It can only be said that people with elevated creatinine, if they are not controlled, are more likely to develop uremia in the later stage. It is estimated that many people will understand this explanation.

Finally, let me summarize for everyone that people with high uric acid may not necessarily develop gout. People with gout may not necessarily have particularly high levels of uric acid. However, if elevated uric acid is not managed for a long time, it is very likely that gout will eventually develop, and it will also increase the risk of cardiovascular and cerebrovascular diseases. Therefore, high uric acid cannot be ignored. If uric acid is elevated, you should pay special attention to improving your lifestyle, such as a low-purine diet, drinking more water, paying attention to physical exercise, etc. If necessary, you should receive regular treatment under the guidance of a professional doctor. .

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 is necessary to realize that high uric acid also needs to be dealt with, it is necessary to improve the lifestyle, and if necessary, it needs to be treated under the guidance of a professional doctor. If you think this article is not bad, you can forward it to your relatives and friends with high uric acid, so that more people can benefit.