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lymphoma; occasionally spontaneous

in acidic urine

and alkalinization Acute dialysis as indicated

Chronic gouty nephropathy

Gout or hyperuricemia in the setting of hypertension, preexisting renal disease, advanced age, vascular disease, inflammatory reaction, and chronic exposure to lead

Intrarenal tophi; sodium urate crystals in interstitium with accompanying destructive inflammatory reaction

Hemodialysis for renal failure

Familial hyperuricemic nephropathy

Autosomal dominant inheritance

Interstitial fibrosis, chronic inflammation; crystals are rare

No consensus regarding allopurinol

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