title: [How to treat hyperuricemia?].
abstract: Among a normal population, 21.5% of men have a blood level of uric acid above 6.8 mg%. Half of these subjects also present concomitant elevation of at least one other biological parameter. Clinically they differ from normo-uricemic subjects by weight, level of blood pressure and a trend to diabetes. From the recent literature it appears that hyperuricemia by itself does not constitute a risk factor as far as renal and vascular diseases are concerned. However, prevalence of gouty arthritis and urinary stones correlates with the blood uric acid level. Therefore, treatment of asymptomatic hyperuricemia must be avoided, and side effects of the drugs weighed. Acceptable indications for treatment are frequent attacks of urolithiasis or arthritis poorly tolerated by the patients.
mesh_terms: D001172:Arthritis, Rheumatoid / Q000097:blood; D006801:Humans; D006973:Hypertension / Q000097:blood; D007669:Kidney Calculi / Q000097:blood; D007674:Kidney Diseases / Q000517:prevention & control; D012306:Risk; D014527:Uric Acid / Q000097:blood*
chemical_list: D014527:Uric Acid
vernacular_title: Que faire devant une hyperuricémie?