Are serum uric acid levels always elevated in acute gout?
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Many patients with acute gout (11%-49%) have normal serum uric acid (SUA) levels (strength of recommendation [SOR]: A, prospective cohort studies). Patients taking allopurinol are significantly more likely to have normal uric acid levels during acute gout attacks (SOR: B, extrapolated from prospective cohorts).
Journal of Family Practice, 60(10) 2011: 618-620.