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Etiology Hyperuricemia Can be idiopathic (primary hyperuricemia) or secondary to insufficient excretion or increased production of purines Predisposes to gout and acute gout attacks Not obligatory for developing gout Primary hyperuricemia Idiopathic extracellular supersaturation of uric acid No history of comorbidities or medications that affect uric acid formation or excretion [3] Primary hyperuricemia can be aggravated by poor dietary habits