A simple blood uric acid value of 500 μmol/L is usually not serious. However, if left uncontrolled for a long period of time, serious consequences such as gouty arthritis and gouty nephropathy can occur.
Fasting blood uric acid >420 μmol/L on two occasions not on the same day is called hyperuricemia. A blood uric acid value of 500 μmol/L belongs to the standard of hyperuricemia, which can be controlled within the ideal range through lifestyle adjustment and medication (e.g., allopurinol, febuxostat, phenylbromarone) to lower the blood uric acid, and is usually not serious.
However, long-term hyperuricemia can appear joint redness, swelling, severe pain and other manifestations of acute attacks of gouty arthritis, if not actively treated, gout stone formation can occur in the later stages, resulting in local bone destruction and other serious consequences. Gouty nephropathy such as hematuria, proteinuria and renal function abnormality can also occur, which seriously affects the patient’s life.
It is recommended that patients with high blood uric acid should go to the hospital in time, and standardize the diagnosis and treatment under the guidance of the doctor, so as not to delay the condition.