Gout - Symptom
Gouty arthritis - acute; Gout - acute; Hyperuricemia; Tophaceous gout; Tophi; Podagra; Gout - chronic; Chronic gout; Acute gout; Acute gouty arthritis
Symptoms of acute gout:
- Symptoms usually involve only one or a few joints. The big toe, knee, or ankle joints are most often affected.
- The pain starts suddenly, often during the night and is often described as throbbing, crushing, or excruciating.
- The joint appears warm and red. It is usually very tender (it hurts to lay a sheet or blanket over it).
- There may be a fever.
- The attack may go away in a few days, but may return from time to time. Additional attacks often last longer.
After a first gouty attack, people will have no symptoms. Half of patients have another attack.
Some people may develop chronic gout. Those with chronic arthritis develop joint damage and loss of motion in the joints. They will have joint pain and other symptoms most of the time.
Tophi are lumps below the skin around joints or in other places. They may drain chalky material. Tophi usually develop only after a patient has had the disease for many years.
Signs and tests:
Tests that may be done include:
Not everyone with high uric acid levels in the blood has gout.
- Reviewed last on: 6/28/2011
- Ariel D. Teitel, M.D., M.B.A., Chief, Division of Rheumatology, St. Vincent’s Hospital, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Wilson JF. In the clinic. Gout. Ann Intern Med. 2010 Feb 2;152(3):ITC21.
Richette P, Bardin T. Gout. Lancet. 2010 Jan 23;375(9711):318-28.
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