Serum urate and the renal handling of urate were measured in 37 patients with primary hyperparathyroidism and in normal sex- and age-matched subjects. Serum urate was increased in the hyperparathyroid group compared to the control group (6.23 +/- 1.46 versus 4.64 +/- 1.24 mg/100 ml; p less than 0.005), whereas the fractional excretion of urate was decreased in hyperparathyroid patients compared to the controls (6.80 +/- 2.69 versus 8.73 +/- 3.47%; p less than 0.005). Twenty-four of these hyperparathyroid patients were studied 6 months after surgical correction of their disease. Serum urate decreased after surgery (5.14 +/- 1.65 mg/100 ml) compared to the preoperative state (5.92 +/- 1.46 mg/100 ml) and was no longer different from the normal values. The possible mechanisms of hyperuricemia associated with the hyperparathyroid state are discussed.
Affiliations
Université libre de Bruxelles, Hôpital universitaire BrugmannDepartment of Surgery
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Pepersack, T., Jabbour, N., Fuss, M., Karmali, R., Van Geertruyden, J., & Corvilain, J. (1989). Hyperuricemia and renal handling of urate in primary hyperparathyroidism. Nephron Clinical Practice, 53(4), 349-352. https://doi.org/10.1159/000185780 (Original work published 1989)