RENAL EXCRETION OF URATE BY HYPERURICAEMIC-HYPERLIPIDEMIC PATIENTS

被引:6
作者
ESTEVEZ, EC
MADUENO, FJT
RUIZ, AG
BARBUDO, JA
PRIEGO, MP
GUIJO, PS
机构
[1] Unidad Docente de Patología General, Departamento de Medicina, Universidad de Córdoba
[2] Sección de Reumatologia, Hospital Universitario, Córdoba
[3] Departamento de Bioquímica, Biología Molecular y Fisiología, Universidad de Córdoba, Córdoba
关键词
HYPERURICEMIA; HYPERLIPIDEMIA; RENAL URATE EXCRETION;
D O I
10.1007/BF02283105
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We studied the renal urate excretory function in two groups of hyperuricaemic male patients composed of individuals with associated hyperlipidemia and hyperuricaemic-normolipidemic individuals, respectively. Both the hyperlipidemia and the hyperuricaemia were primary inasmuch as none of the patients studied was obese or had an above-normal alcohol intake or blood hypertension. The results obtained show that hyperuricaemic-hyperlipidemic patients have higher serum levels of uric acid and poorer urate excretion as reflected in smaller clearance and fractioned excretion of the metabolite than hyperuricaemic-normolipidemic patients. This, in turn, suggests the occurrence of differences in the extent of the urate handling anomalies between the two groups of patients.
引用
收藏
页码:498 / 501
页数:4
相关论文
共 17 条
[1]  
Levinson D.J., Clinical gout and the pathogenesis of hyperuricaemia, Arthritis and Allied Conditions, pp. 1645-1676, (1989)
[2]  
Grantham J.J., Chonko A.M., Renal handling of organic anions and cations. Metabolism and excretion of uric acid, The Kidney, pp. 663-700, (1986)
[3]  
Levinson D.J., Sorensen L.B., Renal handling of uric acid in normal and gouty subjects. Evidence for a 4-component system, Ann Rheum Dis, 39, pp. 173-179, (1980)
[4]  
Puig J.G., Mateos F.A., Jimenez M.L., Ramos T.H., Renal excretion of hypoxanthine and xanthine in primary gout, Am J Med, 85, pp. 533-537, (1988)
[5]  
Steele T.H., Urate excretion in man, normal and gouty, Uric Acid, pp. 257-280, (1978)
[6]  
Palella T.D., Fox I.H., Hyperuricemia and gout, The Metabolic Basis of Inherited Diseases, pp. 965-1006, (1989)
[7]  
Yu T.F., Dorph D.J., Smith H., Hyperlipidemia in primary gout, Semin Arthritis Rheum, 7, pp. 233-244, (1978)
[8]  
Kiao S., Kameda K., Matsuzaway Y., Tarui S., Hiperlipoproteinaemia phenotype and influence of alcohol intake and obesity in Japan, Ann Rheum Dis, 45, pp. 308-313, (1978)
[9]  
Collantes E., Pineda M., Anon J., Sanchez P., Hyperuricaemia-hyperlipemia association in the absence of obesity and alcohol abuse, Clin Rheumtol, 9, pp. 28-31, (1990)
[10]  
Ferns G.A.A., Lanham J., Galton D.J., The association between primary gout and hypertrygliceridemia may be due to genetic linkage, Monograph Atherosc, 13, pp. 121-123, (1985)