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Clinical Rheumatology
Erschienen in: Clinical Rheumatology 12/2017

04.10.2017 | Review Article

Asymptomatic hyperuricemia: is it time to intervene?

verfasst von: Binoy J. Paul, K. Anoopkumar, Vinod Krishnan

Erschienen in: Clinical Rheumatology | Ausgabe 12/2017

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Abstract

Whether to treat hyperuricemia uncomplicated by articular gout, urolithiasis, or uric acid nephropathy is an exercise in clinical judgment and universal agreement is lacking. Patients with coronary artery disease, chronic kidney disease, and early onset hypertension with persistent hyperuricemia are likely to be benefited with urate-lowering therapy. The paradigm of the causative association of hyperuricemia with cardiovascular and chronic kidney diseases seems to have progressed from skepticism to increasing evidence of a true relationship. Although such evidences are mounting, they are not enough to support pharmacotherapy for all patients with asymptomatic hyperuricemia. Further studies are needed to determine which patients are likely to get beneficial effects from pharmacotherapy and the minimum threshold of uric acid level required to experience clinical benefits.
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Metadaten
Titel
Asymptomatic hyperuricemia: is it time to intervene?
verfasst von
Binoy J. Paul
K. Anoopkumar
Vinod Krishnan
Publikationsdatum
04.10.2017
Verlag
Springer London
Erschienen in
Clinical Rheumatology / Ausgabe 12/2017
Print ISSN: 0770-3198
Elektronische ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-017-3851-y

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