Warmth, pain, swelling, and extreme tenderness
in a joint, usually a
big toe joint. This symptom is called podagra. The pain often starts during the night.
It may get worse quickly, last for hours, and be so intense that even light pressure from a sheet is intolerable.
Very red or purplish skin around the affected
joint. The joint may appear to be infected.
Limited movement in the affected
Peeling and itching of the skin around the affected joint as the gout gets better.
How symptoms vary
How, where, and when the symptoms of gout appear vary.
Some people may not experience gout as many painful
attacks. Instead they have gout nearly all the time (chronic gout). Chronic gout in older adults may be
less painful and can be confused with other forms of
Gout may lead to inflammation of the fluid sacs (bursae) that cushion tissues, particularly
in the elbow (olecranon
bursitis) and knee (prepatellar bursitis).
Gout can also affect the joints of the feet, ankles, knees, wrists, fingers,
Symptoms may occur after an illness or
Gout may first appear as
nodules (tophi) on the hands, elbows, or ears. You may not have any of the classic symptoms of a gout attack.