Uric acid (serum)

 

Alternative names, keywords

Urate

Samples required

Clotted blood (gold cap, 5 mL tube). Smaller tubes are available for paediatric samples.

Test indications

 

Factors affecting test performance/ results

The presence of rasburicase causes degradation of uric acid in blood samples at room temperature.

The uricase used in the test reaction reacts specifically with uric acid. Other purine derivatives can inhibit the uric acid reaction.

Calcium dobesilate causes artificially low uric acid results.

Dicynone (Etamsylate) at therapeutic concentrations may lead to false-low results.

N-Acetylcysteine at the therapeutic concentration when used as an antidote to paracetamol poisoning, and the paracetamol metabolite N-acetyl-p-benzoquinone imine (NAPQI) independently may cause falsely low results.

Venepuncture immediately after or during the administration of metamizole may lead to falsely low results.

In very rare cases, gammopathy, in particular type IgM (Waldenström’s macroglobulinemia), may cause unreliable results.

Results should always be assessed in conjunction with the patient’s medical history, clinical examination and other findings.

Reference range

male: 0.20 - 0.42 mmol/L
female: 0.14 - 0.34 mmol/L
Source: Roche Cobas® Uric Acid kit insert, 2023-11, V13.0

Target for gout prevention is less than 0.36 mmol/L (NICE Clinical Knowledge Summary Preventing Gout)

Turnaround time

Same day (within 1h if urgent)

Enquiries

Biochemistry (Automation)