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A 26-year-old male asked about a male:

My dad has a swollen foot. doctor told him he's a gout but a blood test shows his uric acid level as normal. is it possible? what to do?

3 doctor answers5 doctors weighed in
Dr. Eugene Batelli
Podiatry 23 years experience
Yes: During an acute attack it is actually common to have normal uric acid levels. The excess uric acid has precipitated and firmed crystals which have lodged in the foot.
Dr. Tracy Lovell
Rheumatology 21 years experience
See below: A uric acid level can be high, low, or normal in gout but it can also be high, low, or normal when one does not have gout. When in doubt, your dad could see a rheumatologist who can perform an arthrocentesis ( to drain fluid) from his foot and that can confirm the presence of gout. Hope that helps.
Dr. Ronald Krauser
A Verified Doctor commented
A US doctor answered Learn more
A normal uric acid is present in about 7% of acute attacks.
Mar 25, 2014
Dr. Ronald Krauser
A Verified Doctoranswered
A US doctor answeredLearn more
Maybe, but: A gouty attack with a normal uric acid is technically possible but highly unlikely. Most people who have normal uric acid are on Allopurinol at the time of the attack so the low uric acid is due to medication and does not occur naturally. Look for other causes.

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Last updated Nov 28, 2017

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