0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Hyperuricemia and Uric Acid Nephropathy

Douglas Dykman, MD; Eric E. Simon, MD; Louis V. Avioli, MD
Arch Intern Med. 1987;147(7):1341-1345. doi:10.1001/archinte.1987.00370070153023.
Text Size: A A A
Published online

DOUGLAS D. Dykman, MD, Senior Assistant Resident in Medicine, the Jewish Hospital of St Louis: A 76-year-old woman presented with fever and mental status changes. Her medical history was notable for hypertension, diabetes, atherosclerotic peripheral vascular disease, and polymyalgia rheumatica. She had been admitted to the Jewish Hospital three weeks previously for incision and drainage of a sterile hematoma of the right foot. At that time, a uric acid level of 870 μmol/L (14.6 mg/dL) was noted. There was no prior history of gout or renal stones; her serum creatinine level was 150 μmol/L (1.7 mg/dL). Allopurinol therapy was initiated at the time of discharge at a dose of 300 mg/d.

She did well until two days prior to admission, when she developed weakness, nausea, vomiting, and low-back pain. Her family also noted a progressively increasing lethargy and confusion and brought her to the emergency room.

Her medical history was

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

* * SCHEDULED MAINTENANCE * *

Our websites may be periodically unavailable between midnight and 04:00 ET Thursday, July 10th, for regularly scheduled maintenance.

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 4

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();