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Home / Ask the Expert / Purine Rich Foods and Gout

Purine Rich Foods and Gout

April 7, 2009 By Clifton Bingham, III, MD

Question

Your web site refers to an article for a list of food high in purines. Where pray tell is the list hidden?

Answer

Foods that are rich in purines are known to increase uric acid levels.  Avoiding these foods can sometimes decrease the risk of gout attacks.  The list that you refer to is below with the link to additional information concerning gout.

http://www.hopkins-arthritis.org/arthritis-info/gout/treatments.html#foods

  • Very High – Hearts, herring , mussels, yeast , smelt, sardines, sweetbreads
  • Moderately High – Anchovies, grouse,mutton, veal, bacon, liver salmon, turkey, kidneys, partridge, trout, goose, haddock, pheasant, scallops
  • However, even with strict avoidance of these foods, gout will still occur if uric acid levels are too high.  There are several medications available to lower uric acid levels in patients with gout (allopurinol, probenicid, and the recently approved febuxostat) ( http://www.hopkins-arthritis.org/arthritis-news/2009/Febuxostat-Approved-For-Gout-Treatment.html)

    Clifton Bingham, III, MD

    Professor of Medicine
    Director - Johns Hopkins Arthritis Center

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