Skip to main content
Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1960 Nov;13(6):502–505. doi: 10.1136/jcp.13.6.502

THE RELATION OF SERUM URIC ACID TO HAEMOGLOBIN LEVEL IN PATIENTS WITH CARDIAC AND RESPIRATORY DISEASE

J G Lewis 1, J E Gardner 1
PMCID: PMC480130  PMID: 13761722

Abstract

An investigation was made of the serum uric acid in 130 male patients with long-standing cardiac or pulmonary disease. The mean serum uric acid was 4.66 mg. per 100 ml. with a standard deviation of ±0.99.

The serum uric acid increased parallel with a rise in the haemoglobin level. The coefficient of correlation was +0.5, which was nearly six times the standard error.

The frequency of hyperuricaemia (over 6 mg. per 100 ml.) was 11 times in 47 patients with a haemoglobin level above 110% as compared with twice in 83 patients when the haemoglobin level was below this figure.

The highest levels of serum uric acid were seen in patients with cyanotic congenital heart disease.

Two of the patients with hyperuricaemia gave a suggestive history of gout, and this was believed to have been caused by the secondary polycythaemia.

Serum uric acid levels were significantly higher, as were the haemoglobin concentrations, in the obese compared with the patients who were not obese.

Full text

PDF
503

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BECKETT A. G., LEWIS J. G. Gout and the serum uric acid in diabetes mellitus. Q J Med. 1960 Jul;29:443–458. [PubMed] [Google Scholar]
  2. BERLIN N. I., LAWRENCE J. H., GARTLAND J. Blood volume in polycythemia as determined by P32 labeled red blood cells. Am J Med. 1950 Dec;9(6):747–751. doi: 10.1016/0002-9343(50)90289-0. [DOI] [PubMed] [Google Scholar]
  3. BLUM A. S., ZBAR M. J. Relative polycythemia: alterations of red cell distribution simulating hemoconcentration. Arch Intern Med. 1959 Sep;104:385–389. [PubMed] [Google Scholar]
  4. COURNAND A. Some aspects of the pulmonary circulation in normal man and in chronic cardiopulmonary diseases. Circulation. 1950 Nov;2(5):641–657. doi: 10.1161/01.cir.2.5.641. [DOI] [PubMed] [Google Scholar]
  5. GERTLER M. M., GARN S. M., LEVINE S. A. Serum uric acid in relation to age and physique in health and in coronary heart disease. Ann Intern Med. 1951 Jun;34(6):1421–1431. doi: 10.7326/0003-4819-34-6-1421. [DOI] [PubMed] [Google Scholar]
  6. GOLDTHWAIT J. C., BUTLER C. F., STILLMAN J. S. The diagnosis of gout; significance of an elevated serum uric acid value. N Engl J Med. 1958 Dec 4;259(23):1095–1099. doi: 10.1056/NEJM195812042592301. [DOI] [PubMed] [Google Scholar]
  7. HUFF R. L., FELLER D. D. Relation of circulating red cell volume to body density and obesity. J Clin Invest. 1956 Jan;35(1):1–10. doi: 10.1172/JCI103242. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. LAWRENCE J. H., BERLIN N. I., HUFF R. L. The nature and treatment of polycythemia; studies on 263 patients. Medicine (Baltimore) 1953 Sep;32(3):323–388. doi: 10.1097/00005792-195309000-00002. [DOI] [PubMed] [Google Scholar]
  9. WEIL M. H. Polycythemia associated with obesity. J Am Med Assoc. 1955 Dec 24;159(17):1592–1595. doi: 10.1001/jama.1955.02960340012003. [DOI] [PubMed] [Google Scholar]
  10. WILSON R. H., BORDEN C. W., EBERT R. V. Adaptation to anoxia in chronic pulmonary emphysema. AMA Arch Intern Med. 1951 Nov;88(5):581–590. doi: 10.1001/archinte.1951.03810110033003. [DOI] [PubMed] [Google Scholar]
  11. YU T. F., WASSERMAN L. R., BENEDICT J. D., BIEN E. J., GUTMAN A. B., STETTEN D., Jr A simultaneous study of glycine-N15 incorporation into uric acid and heme, and of Fe59 utilization, in a case of gout associated with polycythemia secondary to congenital heart disease. Am J Med. 1953 Dec;15(6):845–846. doi: 10.1016/0002-9343(53)90175-2. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Clinical Pathology are provided here courtesy of BMJ Publishing Group

RESOURCES