In this study, we aimed to evaluate patients with chronic medical diseases in Assiut university hospitals for -Detection of asymptomatic hyperuricemia .
* Early identification of associated comorbidities . * Management of indicated hyperurecimia .
Patients 18 years of age or older who were diagnosed with chronic medical diseases as diabetes mellitus , hypertension , obesity , metabolic syndrome , chronic kidney disease and cardiovascular disease (ischemic cardiomyopathy, heart failure ,coronary arteries disease) .
patients under the age of 18.
patients kown to have gouty arthritis
patients with acute kidney disease .
patients receiving thiazide diuretics.