High blood uric acid is not fatty liver. High blood uric acid is a disorder of purine metabolism in the body, which can lead to gout, and in severe cases, kidney stones and kidney function impairment. Fatty liver is a buildup of lipids in the liver due to a variety of reasons, resulting in a fatty liver. There is no direct link between the two, but both are closely related to diet and metabolism, so they sometimes occur together. Both hyperuricemia and fatty liver require dietary adjustments. High uric acid and severe fatty liver also require medications to adjust the body’s metabolism of purines and lipids. If hyperuricemia and fatty liver are diagnosed, early and standardized treatment is recommended to reduce the adverse effects of the disease.