Can gout be caused by not having high uric acid?

Gout can also be caused by not having high uric acid. Acute attacks of gout, uric acid-lowering treatment and other factors can lead to gout in patients who do not have high uric acid.
Some patients with acute attacks of gout due to the body is in a state of stress, caused by adrenaline secretion increases, uric acid excretion increases, at this time to detect the blood uric acid may not appear elevated.
Some patients in the process of lowering uric acid treatment, due to the blood uric acid drop too fast resulting in the body’s blood uric acid concentration fluctuations, can also induce gout, the test blood uric acid can also appear not high.
Other factors such as gout acute attack of patients with decreased appetite, eating less so that the production of uric acid to reduce the detection of blood uric acid may not be elevated. Some patients due to joint trauma or infection and other factors, leading to changes in the body’s internal environment, abnormal deposition of urate crystals, etc., at this time, although there is no elevation of blood uric acid, but also gouty attacks.
Uric acid is not high patients such as gout, it is recommended to go to the hospital in a timely manner, under the guidance of the doctor for early, standardized treatment.