A blood uric acid level of 450 μmol/L may cause gout, but whether it does or not depends on individual differences and the presence of triggers.
Hyperuricemia is diagnosed when the fasting blood uric acid level exceeds 420 μmol/L on 2 occasions not on the same day; and hyperuricemia may cause gouty attacks, and manifestations such as gouty stones and gouty nephropathy. Whether or not gout occurs in patients with a blood uric acid of 450 μmol/L is determined by individual differences and the presence of triggers.
Many patients with hyperuricemia may not experience gouty attacks throughout their lives, which is called asymptomatic hyperuricemia. 5%~12% of patients with hyperuricemia will experience acute attacks of gout, and the higher the blood uric acid concentration and the longer the duration, the more chances of gout and urinary stones. Therefore whether a blood uric acid of 450 μmol/L causes gout is related to individual differences.
In addition, in the cold, strenuous exercise, a large amount of intake of high-purine food or drinking alcohol and other triggers, blood uric acid level fluctuates drastically, but also easy to cause gout attack in patients with hyperuricemia. Therefore, patients need to pay attention to improve the dietary structure and lifestyle.
It is recommended that patients with blood uric acid level of 450 μmol/L should consult a doctor as soon as possible, so that the diagnosis can be clarified under the doctor’s guidance and whether intervention is needed.