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Level two – Semester 4 - PharmD      Biochemistry-II PB-403 (Practical course)     2024/2025



                       ➢ Hyperuricemia:

                                          Elevated serum uric acid level.

                          •  Causes:


                                           Purine-rich diet as: meats, certain fish, and
                      Purine Intake        turkey


                                          E.g.: Chemotherapy.
                     High cell
                                          Leukemia.
                      breakdown           Hemolysis.


                                         E.g.: Acute/chronic kidney disease.
                        Decreased        Use of diuretics (as they are interfering with

                            renal        uric acid excretion).

                         excretion.


                          •  Consequences:

                   In hyperuricemia, uric acid (poorly soluble in blood) tends to form


                   crystals, such crystals precipitate either in:




                               Joints                                                      Kidney



                                  Gouty                                              Nephrolithias

                                 Arthritis                                              is (Kidney

                                                                                         stones)


                          Big toe is the main

                         site of precipitation.














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