Over 5 years ago leading rheumatologists asked: “Is it time to revise the normal range of serum uric acid levels?”[1]
Of course, they knew then that the answer is “Yes!”
Because they argued the case with clear, indisputable logic. Yet nothing has been done. But at least you now have solid ammunition if a medical professional avoids gout diagnosis. Or refuses uric acid treatment.
I would drop the use of normal altogether. Because it has no clinical relevance in my opinion. But if the medical profession insists on maintaining this outdated reference range it should at least be accurate. So let’s see how the logic of this normal uric acid investigation applies to real-life…