Complicated Hyperuricemia.

ABSTRACT

Gout is most common arthritis in men and its prevalence increases with increased life expectancy. Untreated hyperuricemia lead to complication like renal impairment, hypertension, diabetes, cardiovascular complication. We are reporting here such a case of untreated hyperuricemia. A 45 years old male presented with polyarthritis having since 3 years. He is also a known case of hypertension and diabetes for last 6 months. Patient is on steroid for last 1 year. Patient presently has bilateral pedal edema, swelling of both knee joints, bilateral 1st metatarsophalangeal joint and tophaceous swelling in different areas of the bodies. On blood examination-raised serum uric acid, creatinine, blood urea level. Urine shows uric acid crystal and albuminuria. Synovial fluid shows uric acid crystals. Longterm untreated hyperuricemia associated with hypertension and cardiovascular and renal diseases. Therefore raised uric acid lead to multiple system disease involvement.