Which of the following statements about uric acid nephropathy is false?

  1. It can occur as a part of the tumor lysis syndrome
  2. It is common in patients undergoing anti-cancer chemotherapy
  3. Acidifying the urine is useful in managing this condition
  4. It can be prevented by starting the patient on allopurinol before starting the chemotherapy

 

Answer: The answer is (c). Uric acid nephropathy occurs due to production of excess uric acid during excess cell kill. This occurs as a part of tumor lysis syndrome, anti-cancer chemotherapy. Adding allopurinol to the treatment before starting the anti-cancer chemotherapy can prevent it. Forced alkaline diuresis can help to prevent the dangerous effects of uric acid on the kidney.