C. Diaconu *, M. Angelescu **
* Dr. Cristian Diaconu, medic rezident medicină internă, Clinica medicală, Spitalul clinic Colentina, București
** Prof. Dr. Mircea Angelescu, Clinica de Boli Infecțioase, Inst. Matei Balș
Abstract
From an etiological point of view, hyperuricemias can be primary or secondary and either can be
metabolic (because of overproduction) or renal. Stages of hyperuricemias are therapeuticaly
important, because there are specific feature depending on them and also on the presence or absence
of renal disease. The dietary treatment plays a preventive and auxilia_ry therapeutic role, the
most important measures are the exclusion of purine rich foods and of alcohol. There are
extensively presented the four categories of drugs used in the treatment of hyperuricemias, related
to their usage in different clinical situations. The treatment of acute gout-attack is completely
different than the hypouricemiant one. The choice of one category of hypouricemiant drugs depends
on the uricosuria values and on the presence or absence of renal disease. The prognosis of correct,
early treated patients is excellent.