What are the symptomatic presentations of hyperuricemia?

Updated: Nov 03, 2020
  • Author: James W Lohr, MD; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Patients are usually asymptomatic, and no specific physical findings are recognized. Symptomatic presentations may include the following:

  • In acute gouty arthritis, the affected joint is typically warm, erythematous, swollen, and exquisitely painful

  • Patients with chronic gouty arthritis may develop tophi in the helix or antihelix of the ear, along the ulnar surface of the forearm, in the olecranon bursa, or in other tissues

  • In uric acid nephrolithiasis, patients may present with abdominal or flank tenderness

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