Asymptomatic hyperuricaemia (raised serum urate without gout)

Endocrinology and metabolism · Abnormal laboratory result · updated 2026-10-31

BioMG follows French guidelines. Adapt it to the guidelines and the tests available where you practise.

Frequency: About 21% of adults in the United States (NHANES 2007-2008, serum urate > 70 mg/L in men, > 57 mg/L in women) ^[1]; no French data for the general population

Raised serum urate without gout flare or tophus

Fasting sample.

Laboratory tests

Serum creatinine with eGFR
Fasting plasma glucose (if no recent cardiovascular work-up)if needednon-French guidelineNo guideline covers isolated hyperuricaemia: by analogy with gout, where screening for diabetes, dyslipidaemia, hypertension and obesity is recommended ^[2].
Lipid profile (if no recent cardiovascular work-up)if needednon-French guidelineNo guideline covers isolated hyperuricaemia: by analogy with gout, where screening for dyslipidaemia is part of the comorbidity work-up ^[2].

Detailed explanation and international comparison (in French): read it in English (machine translation)

Sources (16)