Gout attack symptoms often develop rapidly overnight and worsen over the next 24-48 hours.
A single gout attack usually only affects only one joint, but recurrent attacks may affect more than one joint. The big toe is the most common site of gout. Other sites include the ankle, heel, foot instep, wrist, elbow, or fingers.
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Common symptoms in the joint include:
Fever and flu-like symptoms may also be present.
Recurrent attacks can lead to permanent joint damage, especially if gout remains untreated. Uric acids can build up and create deposits called tophi. They can lead to:
Gout. American College of Rheumatology website. Available at: http://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Gout. Accessed February 24, 2020.
Gout. EBSCO DynaMed Plus website. Available at:http://www.dynamed.com/topics/dmp~AN~T115215/Gout. Accessed February 24, 2020.
Gout. National Institute of Arthritis and Musculoskeletal and Skin Diseases website. Available at: https://www.niams.nih.gov/Health_Info/Gout/default.asp. Accessed February 24, 2020.
Gout symptoms. Arthritis Foundation website. Available at: http://www.arthritis.org/about-arthritis/types/gout/symptoms.php. Accessed February 24, 2020.
Last reviewed January 2020 by EBSCO Medical Review Board David L. Horn, MD, FACP Last Updated:1/21/2020