Hello.
Thank you for your query at DoctorSpring.com.
I have noted your history.
I would like to know if you are on a drug to reduce uric acid levels on a long term basis, like Allopurinol. That will really help.
Let me answer each of your questions.
1. No, the degree of renal dysfunction you have cannot cause such a gout. And no,the kidney dysfunction is not due to hypothyroidism.
Renal impairment is common among patients with gout but its not entirely due to gout. It usually reflects the coexistence of other disorders such as hypertension, diabetes mellitus, obesity, atherosclerosis or, in some instances, lead intoxication resulting from use of unbonded whiskey (moonshine). If you have any such co-existing condition, strict control is required.
2. Uric acid crystals are deposited in the joints, and fractures involving the joints may be precipitating the deposition of these crystals.
I hope that answers your questions. Feel free to ask queries.
Thank you.