Symptoms
Symptoms include:
Acute Gouty Arthritis
- Sudden onset of severe pain in an inflamed joint, usually starting in the big toe
- Joints that are red, hot, swollen, and very tender
- Increased pain 24-36 hours after the onset of symptoms
Gout of the Big Toe
Recurrent Gouty Arthritis
Most people with gout have another attack within two years. This attack may affect many different joints. With recurrent gout, tophi can form. Tophi are chalky deposits of uric acid that commonly occur in the elbows and earlobes.
Diagnosis
The doctor will ask about your symptoms and medical history, and perform a physical exam. A sample of fluid from the affected joint will be taken. This fluid will be tested for uric acid crystals.
Other tests may include:
- Blood and urine tests—to measure the level of uric acid in your blood and to assess kidney function
- X-ray —a test that uses radiation to take a picture of structures inside the body, especially bones; used to check for joint destruction
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