An association of gout with hypertension, diabetes, kidney disease,and cardiovascular disease has been observed since the late19th century. Early investigators, such as Frederick Mahomed,Alexander Haig, and Nathan Smith Davis, hypothesized that uricacid might be a cause of hypertension or renal disease. In 1897,in his presidential address to the American Medical Association,Dr. Davis wrote, "High arterial tension in gout is due in partto uric acid or other toxic substances in the blood which increasethe tonus of the [renal] arterioles."1 Since agents that loweruric acid levels were not available earlier in Davis's career,. . . [Full Text of this Article]
Uric Acid and Cardiorenal Disease — Cause or Consequence?
Uric Acid and Cardiovascular Disease — A Reappraisal
Hyperuricemic Hypertension
Uric Acid, the Metabolic Syndrome, and Diabetes
Uric Acid and Chronic Kidney Disease
Other Cardiovascular Diseases Associated with Hyperuricemia
Caveats and Future Directions
Source Information
From Baylor College of Medicine, Houston (D.I.F.); Ewha Womans University School of Medicine, Seoul, Korea (D.-H.K.); and the University of Colorado Health Sciences Center, Denver (R.J.J.).
Address reprint requests to Dr. Feig at the Department of Pediatrics, Renal Section, Baylor College of Medicine, Houston, TX 77030, or at dfeig@bcm.tmc.edu.
Related Letters:
Uric Acid and Cardiovascular Risk
Leow M. K., Bueno C., Trivedi N., Parmar M. S., Oh J., Won H. Y., Kang S.-M., Hebert L. A., Rovin B., Feig D. I., Johnson R. J.
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N Engl J Med 2009;
360:538-541, Jan 29, 2009.
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