| [ Summary ] |
At the present time, gout-related renal complications, gouty kidney, tend to be mild, however their incidence is still high. In gouty kidney, not only urate nephropathy characterized by urate crystal deposition in renal parenchyme but also vascular damage due to hypertension, hyperlipidemia and impaired glucose tolerance is seen. The management of gouty kidney is a long term decrease in serum urate levels with proper choice of drug (urate synthesis inhibitor or uricosuric agent) and diet therapy (restriction of purine bodies and alcohol). Furthermore, diet therapy is quite important for the gouty patients with hypertension, hyperlipidemia or impaired glucose tolerance. |