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Serum Uric Acid

Specimen Required

3-5cc Clotted Blood or Serum

Fasting Required

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Purpose of the Test

To detect high levels of uric acid, which could be a sign of the condition gout, or to monitor uric acid levels when undergoing chemotherapy or radiotherapy; to detect high levels of uric acid in the urine in order to diagnose the cause of kidney stones and to monitor those with gout who are at risk of developing such stones.  Uric Acid is also measured as part of the assessment of pre-eclampsia.

When this test is required

Uric acid is requested when a doctor suspects high levels of uric acid in blood. Some patients with high levels of uric acid have a disease called gout, a disorder that affects purine breakdown which can run in families. Patients with gout suffer from joint pain, most often in their toes but in other joints as well. The test may also be requested if a patient appears to have kidneys that are not working properly.The test is also used as a monitoring tool when a patient has undergone chemotherapy or radiotherapy, to find out whether uric acid levels are getting dangerously high. Monitoring can also be done when a patient is found to have gout or renal failure. Patients who have high uric acid levels are sometimes put on drugs to help lower uric acid levels.Urine uric acid may be requested when a person suffers from recurrent kidney stones or has gout and needs to be monitored for formation of these stones.

What the Test Detects

Uric acid is produced by the breakdown of purines, which are nitrogen-containing compounds found in the body in substances such as nucleic acids (DNA, RNA).  They enter the circulation from digestion of certain foods, drinks (alcoholic beverages like beer and wine) or from normal breakdown and turnover of cells in the body.  Most uric acid is removed by the kidneys and disposed of in the urine; the remainder is excreted…Uric acid is produced by the breakdown of purines, which are nitrogen-containing compounds found in the body in substances such as nucleic acids (DNA, RNA).  They enter the circulation from digestion of certain foods, drinks (alcoholic beverages like beer and wine) or from normal breakdown and turnover of cells in the body.  Most uric acid is removed by the kidneys and disposed of in the urine; the remainder is excreted in the stools. If too much uric acid is produced or not enough is excreted, it can accumulate in the body and cause increased levels in the blood (hyperuricemia).  The presence of excess uric acid can cause the condition called gout – an inflammation that occurs in joints when crystals derived from uric acid form in the joint fluid.  Excess uric acid can also lead to kidney disease, as a result of deposition in the kidneys or kidney stone formation, as a result of increased urinary excretion. The accumulation of too much uric acid is due to either increased production, decreased elimination or a combination of both. Increased production can be caused by, for example, increased cell death, as may be seen with some cancer treatments, or, rarely, may be due to an inherited tendency to overproduce uric acid. Decreased elimination of uric acid is often a result of impaired kidney function due to kidney disease. In many cases, the exact cause of excess uric acid is unknown. Doctors seldom need to test for low levels of uric acid. Uric acid levels are also increased in pre-eclampsia and may be measured as part of the assessment of this condition. See MoreSee Less

Preparation for the Test

None may be needed however some institutions recommend fasting.  Follow any instructions you are given.

Sample Requirements

A blood sample taken from a vein in the arm or a 24-hour urine sample

Additional Notes

Many drugs can increase or decrease the level of uric acid. In particular, thiazide diuretics can cause uric acid levels to rise.  Aspirin (and other salicylates) have varying effects on uric acid. At low aspirin levels (as may occur in persons taking aspirin only occasionally), aspirin can increase blood uric acid. On the other hand, in high doses (as may be used to treat rheumatoid arthritis), aspirin actually lowers the concentration of uric acid.For people who have uric acid kidney stones or gout, foods that are high in purine content should be avoided, including organ meats (like liver and kidneys), sardines and anchovies. Alcohol also should be avoided, because it slows down the removal of uric acid from the body. Fasting, a starvation diet, and strenuous exercise all raise uric acid levels.Some people may have a high level of uric acid in the blood without having associated signs or symptoms (asymptomatic hyperuricemia). However, general screening to detect this condition is not recommended, nor is treatment considered appropriate.