The hidden gout

Hyperuricemia is a frequent biochemical abnormality often without clinical symptoms which may indicate future gout and is also associated with pathologies such as metabolic syndrome hypertension and renal disease. In fact most medical organizations recommend no hypouricemic therapy (HAT) as long as uricemia remains asymptomatic. However it has been observed that a portion of the population with asymptomatic hyperuricemia (HUA) develops gout after a few years due to genetic predisposition and unconfirmed risk factors. Thus osteoarticular ultrasonography can be used to spot asymptomatic gout by identifying signs of uratic deposits (DU) in individuals with HUA.