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Trichosanthes dioica, also known as pointed gourd, is a tropical perennial cucurbit plant with its origin in the Indian subcontinent.The plant propagated vegetatively and grows with training on a support system (e.g., trellis) as pencil-thick vines (creepers) with dark-green cordate (heart-shaped) simple leaves.
Unless high blood levels of uric acid are determined in a clinical laboratory, hyperuricemia may not cause noticeable symptoms in most people. [5] Development of gout – which is a painful, short-term disorder – is the most common consequence of hyperuricemia, which causes deposition of uric acid crystals usually in joints of the extremities, but may also induce formation of kidney stones ...
Hyperuricosuria is a medical term referring to the presence of excessive amounts of uric acid in the urine. For men this is at a rate greater than 800 mg/day, and for women, 750 mg/day. [1] Notable direct causes of hyperuricosuria are dissolution of uric acid crystals in the kidneys or urinary bladder, and hyperuricemia.
The shoots, tendrils, and leaves of some or possibly all species may be eaten as greens, and at least two species (serpent gourd, T. cucumerina, and pointed gourd, T. dioica) are grown commercially for their fleshy fruits used as vegetables, most popular in South Asia and Southeast Asia.
Uric acid displays lactam–lactim tautomerism. [4] Uric acid crystallizes in the lactam form, [5] with computational chemistry also indicating that tautomer to be the most stable. [6] Uric acid is a diprotic acid with pK a1 = 5.4 and pK a2 = 10.3. [7] At physiological pH, urate predominates in solution. [medical citation needed]
Mutations in the gene lead to hyperuricemia.At least 67 disease-causing mutations in this gene have been discovered: [5] Some men have partial (up to 20% less activity of the enzyme) HGPRT deficiency that causes high levels of uric acid in the blood, which leads to the development of gouty arthritis and the formation of uric acid stones in the urinary tract.
Uricosuria refers to uric acid in the urine. Urine levels of uric acid can be described as: Hyperuricosuria, an abnormally high level of uric acid in the urine; Hypouricosuria, an abnormally low level of uric acid in the urine; Agents that increase uric acid in the urine are termed uricosurics
[20] [64] Probenecid may be used if undersecretion of uric acid is present (24-hour urine uric acid less than 800 mg). [75] It is, however, not recommended if a person has a history of kidney stones. [75] Probenecid can be used in a combined therapy with allopurinol is more effective than allopurinol monotherapy. [76] [77] [78]