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Guide to Gout - Information on Gout

By Carol & Richard Eustice, About.com

Updated: August 1, 2008

About.com Health's Disease and Condition content is reviewed by Kate Grossman, MD

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Part 3 of 8 - What Causes Gout? What are the Risk Factors for Gout?

What Causes Gout?

A number of risk factors are related to the development of hyperuricemia and gout:

  • Genetics may play a role in determining a person's risk, since up to 18% of people with gout have a family history of the disease.
  • Gender and age are related to the risk of developing gout; it is more common in men than in women and more common in adults than in children.
  • Being overweight increases the risk of gout because there is more tissue available for turnover or breakdown, which leads to excess uric acid production.
  • Drinking too much alcohol can lead to hyperuricemia because it interferes with the removal of uric acid from the body.
  • Eating too many foods rich in purines can cause or aggravate gout in some people.
  • An enzyme defect that interferes with the way the body breaks down purines causes gout in a small number of people, many of whom have a family history of gout.
  • Exposure to lead in the environment can cause gout.
  • Some people who take certain medicines or have certain conditions are at risk for having high levels of uric acid in their body fluids.

  • Gout Risk Factors
  • Some Medicines

    The following types of drugs can lead to hyperuricemia because they reduce the body's ability to remove uric acid:

  • diuretics (taken to eliminate excess fluid from the body)
  • salicylates (or anti-inflammatory drugs made from salicylic acid, such as aspirin)
  • the vitamin niacin (also called nicotinic acid)
  • cyclosporine (an immunosuppressant)
  • Levodopa (used to treat Parkinson's disease)
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