I understand your concern about your uric acid level and the pain in your ankles along with dark spots.

• A uric acid level of 7.4 mg/dL is slightly above the typical upper limit for many labs, which usually ranges up to about 6.8 mg/dL. Elevated uric acid can sometimes indicate a condition called hyperuricemia, which may lead to gout, a type of arthritis caused by uric acid crystal buildup in joints.
• Pain in both ankles and dark spots on the skin could be related to gout or other inflammatory joint conditions. Gout often causes sudden, severe joint pain, swelling, and redness, commonly affecting the ankles and feet.
• Dark spots might be due to skin changes from inflammation or other causes, so it’s important to have these evaluated by a doctor.

Given these symptoms and your uric acid level, it would be best to consult a rheumatologist, a specialist in joint and autoimmune conditions. They can perform a thorough evaluation, confirm if gout or another condition is present, and recommend appropriate treatment to manage pain and prevent complications.

If you are currently taking any medication like Celebrex (celecoxib), which is used to reduce joint pain and inflammation, please inform your doctor, as they can tailor treatment based on your overall health and symptoms.

Please seek medical advice promptly to get a clear diagnosis and proper care.To narrow down potential causes, we will need some more information.Please tell me your age and gender.