Single Most Likely Diagnosis
- Dietary Indiscretion: A recent increase in dietary purines (e.g., red meat, seafood, beer) can lead to a mild elevation in uric acid levels. This is a common and often reversible cause.
Other Likely Diagnoses
- Dehydration: Inadequate hydration can cause a mild increase in uric acid levels due to decreased renal clearance.
- Obesity: Being overweight or obese can lead to increased uric acid production and decreased renal clearance, resulting in mildly elevated levels.
- Hypertension: Certain antihypertensive medications, such as diuretics, can increase uric acid levels.
Do Not Miss Diagnoses
- Kidney Disease: Early kidney disease can cause a mild elevation in uric acid levels due to decreased renal clearance. Missing this diagnosis could lead to progression of kidney disease.
- Tumor Lysis Syndrome: Although rare, this condition can cause a rapid increase in uric acid levels due to cell breakdown. Early recognition is crucial to prevent severe complications.
Rare Diagnoses
- Genetic Disorders: Certain genetic disorders, such as Lesch-Nyhan syndrome, can cause elevated uric acid levels due to enzyme deficiencies.
- Myeloproliferative Disorders: Conditions like polycythemia vera can lead to increased cell turnover and subsequent elevation in uric acid levels.