A high level of uric acid is an often-unrecognized contributor to many disease states. While the uremic wastes creatinine and BUN are measured on a basic metabolic panel, a blood test for serum uric acid (urate) is usually not run unless the patient complains of gout symptoms. Gout is the most well-known consequence of high uric acid, but only one of many conditions impacted by uric acid.
There may be a classical presentation of gout in the big toe or tophi with uric acid crystals forming nodules in various places. Gout may occur in the context of kidney weakness but is also seen in patients with normal creatinine and BUN. If other renal indicators are normal, diet and lifestyle factors are to blame.









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