Abstract
The kidney has been traditionally considered as one of the two primary target organs in gout (1), but long-term follow-up studies have failed to show a deleterious effect of gout on renal function (2). FNAH is characterized by hyperuricemia or gout, usually appearing at an early age and often in both sexes, associated with progressive renal failure (3–17). The pathogenesis of this syndrome is controversial. Some authors believe that renal deterioration is the result of sustained hyperuricemia because in some patients allopurinol halted the progression of renal insufficiency (8, 16). Most authors, however, have documented the progression of renal disease despite allopurinol therapy (7, 10, 11, 14, 15, 17). We examined the influence of allopurinol on the evolution of renal disease in patients with FNAH.
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References
Talbott JH, Terplan KL. The kidney in gout. Medicine (Balt) 1960; 39:405–407.
Berger L, Yü T-F. Renal function in gout. IV. An analysis of 524 gouty subjects including long-term follow-up studies. Am J Med 1975; 59:605–613.
Duncan H, Dixon AS. Gout, familial hyperuricemia, and renal disease. Q J Med 1960; 29:127–135.
Rosenbloom FM, Kelley WN, Carr AA, Seegmiller JE. Familial nephropathy and gout in a kindred (abstract). Clin Res 1967; 15:270.
Treadwell BU. Juvenile gout. Ann Rheum Dis 1971; 30:279–284.
Van Goor W, Kooiker CJ, Mees EJD. An unusual form of renal disease associated with gout and hypertension. J Clin Path 1971; 24:354–359.
Massari PU, Hsu CH, Barnes RV, Fox IH, Gikas PW, Weller JM. Familial hyperuricemia and renal disease. Arch Intern Med 1980; 140:680–684.
Simmonds HA, Warren DJ, Cameron JS, Potter CF, Farebrother DA. Familial gout and renal failure in young women. Clin Nephrol 1980; 14:176–182.
Farebrother DA, Pincott JR, Simmonds HA, Warren DJ, Dillon MJ, Cameron JS. Uric acid crystal-induced nephropathy: Evidence for a specific renal lesion in a gouty family. J Pathol 1981; 135:159–168.
Richmond JM, Kincaid-Smith P, Whitworth JA, Becker GJ. Familial urate nephropathy. Clin Nephrol 1981; 16:163–168.
Leumann EP, Wegmann W. Familial nephropathy with hyperuricemia and gout. Nephron 1983; 34:51–57.
Fleckenstein JL, Simkin PA. Corrected clearance identifies underexcretion of uric acid in a gouty kindred. Adv Exp Med Biol 1986; 195A:295–297.
Calabrese G, Simmonds HA, Cameron JS, Davies PM. Precocious familial gout with reduced fractional urate clearance and normal purine enzymes. Q J Med 1990; 75:441–450.
Murakami T, Kawakami H, Nakatsuka K, Jojima K, Nohno H, Matsuzaki H. Underexcretory-type hyperuricemia, disproportionate to the reduced glomerular filtration rate in two boys with mild proteinuria. Nephron 1990; 56:439–442.
Yokota N, Yamanaka H, Yamamoto Y, Fujimoto S, Eto T, Tanaka K. Autosomal dominant transmission of gouty arthritis with renal disease in a large Japanese family. Ann Rheum Dis 1991; 50:108–111.
Moro F, Ogg C, Simmonds HA, et al. Familial juvenile gouty nephropathy with renal urate hypoexcretion preceding renal damage. Clin Nephrol. 1991;35:263–269.
Puig JG, Miranda ME, Mateos FA, Picazo ML, Jiménez ML, Calvin TS, Gil AA. Hereditary nephropathy associated with hyperuricemia and gout. Arch Intern Med 1993; 153: 357–365.
Beck LH. Requiem for gouty nephropathy. Kidney Int 1986; 30:280–287.
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© 1995 Springer Science+Business Media New York
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Miranda, M.E. (1995). The Influence of Allopurinol on Renal Deterioration in Familial Nepropathy Associated with Hyperuricemia (FNAH). In: Sahota, A., Taylor, M.W. (eds) Purine and Pyrimidine Metabolism in Man VIII. Advances in Experimental Medicine and Biology, vol 370. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2584-4_15
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DOI: https://doi.org/10.1007/978-1-4615-2584-4_15
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