Gout often happens with other medical problems. Metabolic syndrome happens along with nearly 75% of all cases of gout. Gout often makes these other problems worse or harder to treat: polycythemia, lead poisoning, renal failure, hemolytic anemia, psoriasis, and solid organ transplants. Males have three times the chance of getting gout when the body mass index is greater than or equal to 35. Frequent lead exposure and lead-contaminated alcohol are risk factors for gout because lead harms the kidney function.