Clinical Rheumatology

, Volume 36, Issue 12, pp 2637–2644 | Cite as

Asymptomatic hyperuricemia: is it time to intervene?

  • Binoy J. Paul
  • K. Anoopkumar
  • Vinod Krishnan
Review Article


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.


Chronic kidney disease Coronary artery disease Gout Hyper uricemia Systemic hypertension Urate-lowering therapy 


Compliance with ethical standards




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Copyright information

© International League of Associations for Rheumatology (ILAR) 2017

Authors and Affiliations

  1. 1.Department of Internal MedicineKMCT Medical College ManasseryCalicutIndia

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