Hyperuricemia, endogenous
To view the entire topic, please log in or purchase a subscription.
Emergency Central is a collection of disease, drug, and test information including 5-Minute Emergency Medicine Consult, Davis’s Drug, McGraw-Hill Medical’s Diagnosaurus®, Pocket Guide to Diagnostic Tests, and MEDLINE Journals created for emergency medicine professionals. Explore these free sample topics:
-- The first section of this topic is shown below --
Etiology
Primary hyperuricemia
- Increased production of purine
- Idiopathic
- Specific enzyme defects (eg, Lesch-Nyhan syndrome, glycogen storage diseases)
- Decreased renal clearance of uric acid (idiopathic)
Secondary hyperuricemia
- Increased purine catabolism and turnover
- Myeloproliferative disorders
- Lymphoproliferative disorders
- Carcinoma and sarcoma (disseminated)
- Chronic hemolytic anemias
- Cytotoxic drugs
- Psoriasis
- Decreased renal clearance of uric acid
- Intrinsic kidney disease
- Functional impairment of tubular transport:
- Drug-induced (eg, thiazides, probenecid)
- Hyperlacticacidemia (eg, lactic acidosis, alcoholism)
- Hyperketoacidemia (eg, diabetic ketoacidosis, starvation)
- Diabetes insipidus (vasopressin-resistant)
- Bartter's syndrome
-- To view the remaining sections of this topic, please log in or purchase a subscription --
Etiology
Primary hyperuricemia
- Increased production of purine
- Idiopathic
- Specific enzyme defects (eg, Lesch-Nyhan syndrome, glycogen storage diseases)
- Decreased renal clearance of uric acid (idiopathic)
Secondary hyperuricemia
- Increased purine catabolism and turnover
- Myeloproliferative disorders
- Lymphoproliferative disorders
- Carcinoma and sarcoma (disseminated)
- Chronic hemolytic anemias
- Cytotoxic drugs
- Psoriasis
- Decreased renal clearance of uric acid
- Intrinsic kidney disease
- Functional impairment of tubular transport:
- Drug-induced (eg, thiazides, probenecid)
- Hyperlacticacidemia (eg, lactic acidosis, alcoholism)
- Hyperketoacidemia (eg, diabetic ketoacidosis, starvation)
- Diabetes insipidus (vasopressin-resistant)
- Bartter's syndrome
There's more to see -- the rest of this topic is available only to subscribers.