Middle-aged men over kidney patients, with gout performance (joint disease and gout stone), serum uric acid> 357-Moore / l, urinary uric acid excretion increased (> 1 g / day), urine analysis and renal
With interstitial nephritis performance can be diagnosed as uric acid nephropathy. Differential diagnosis is a judgement of primary or secondary to other kidney disease.
(1) the former serum uric acid / blood muscle Crisp> 2.5, to increase uric acid is more prominent, while the latter ratio was increased. (2) have accompanied the former gouty arthritis or acute gouty joint disease, involving more than the first toe joint road, the latter rare.
(3) the former urinary uric acid in azotemia hyperlipidemia appear before the latter was not.
(4) more than the latter have other kidney history.
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