Tests:Urate, Plasma: Difference between revisions

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Tests:Urate, Plasma
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2. Identification of urate crystals in joint fluid; or (in late cases), typical x-ray changes  
2. Identification of urate crystals in joint fluid; or (in late cases), typical x-ray changes  
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Revision as of 12:38, 12 September 2025

Overview

Department Biochemistry
Test Code PURT
Synonyms Uric acid
Availability Monday - Sunday, testing routinely available out of hours
Turnaround Time 2 hrs
Stability – Add test

Specimen Requirements

Specimen Plasma

Serum

Preferred 6 mL Plain Red-Top
Acceptable 4 mL Li-Hep Green-Top
Unacceptable
Specimen Transportation
Paediatric Requirements   600 µL Li-Hep Microtainer

Aliquot Requirements

Sample
Preferred Volume
Minimum Volume
Aliquot Transportation

Clinical Information

Reference Intervals 0 – 11 years              0.08 - 0.34 mmol/L  

Male                         0.20 - 0.42 mmol/L

Female                      0.15 - 0.36 mmol/L

Test Method Ci8200 analyser, Abbott, Enzymatic.
Advanced Notice
Patient Preparation

Comments

Changes with the reference range may be significant in pregnancy.  

The risk of gout (and probability of diagnosis) is low if the plasma urate levels are repeatedly below 0.42 mmol/L.  

The risk of developing gout is three times greater if the plasma urate levels are consistently above 0.42 mmol/L.  

Plasma urate levels often fall during an acute attack, so a normal plasma urate does NOT exclude the diagnosis of gout at this time.  

A raised plasma urate level is not sufficient to make the diagnosis of gout, which requires:  

1. Classical history of podagra;  

2. Identification of urate crystals in joint fluid; or (in late cases), typical x-ray changes

Owner Clair Crossley (Crossley1)
Last reviewed 12.09.2025
Next review 12.09.2026 (Overdue)