What are the symptoms of gout

What are the symptoms of gout

Middle-aged men are the group with the most gout symptoms, while women are relatively less common. In these people with gout symptoms, the physical manifestations are extremely obvious after the onset of the disease. Among those people, many have suffered great damage to their health due to the harm of gout. So, what exactly do gout symptoms include during the diagnosis and treatment of gout?


After gout occurs, the patient's physical symptoms are very obvious. Many gout patients do not have any obvious signs in their bodies before the onset of the disease. They only have fatigue, physical discomfort, or even tingling in their joints. These conditions are the most obvious manifestations of gout symptoms. After gout occurs, the patient's affected joints and surrounding tissues will become red, swollen, hot, painful, and have limited function. Usually resolves spontaneously within a few days or 2 weeks.

The first attack often affects a single joint, with more than 50% occurring at the first metatarsophalangeal joint. Later in the course of the disease, 90% of patients will have this site affected. The next most common joints are the dorsum of the foot, heel, ankle, knee, wrist and elbow. The shoulder, hip, spine and temporomandibular joints are less frequently affected. Multiple joints may be affected at the same time, manifesting as polyarthritis. Some patients may have systemic symptoms such as fever, chills, headache, palpitations and nausea, which may be accompanied by increased white blood cell count, increased erythrocyte sedimentation rate and increased C-reactive protein.


Gout attacks can last for several days to several weeks and then resolve on their own, usually with no obvious sequelae, or leaving local skin pigmentation, desquamation, and itching. They then enter an asymptomatic interval period and relapse after several months, years, or more than ten years. Most patients relapse within one year, and the episodes become more and more frequent, affecting more and more joints, and the symptoms lasting longer and longer. The affected joints generally develop from the lower limbs to the upper limbs, from the distal small joints to the large joints, and the joints such as the fingers, wrists and elbows are affected. A small number of patients may be affected in the shoulder, hip, sacroiliac, sternoclavicular or spinal joints, and may also affect the bursae, tendons and tendon sheaths around the joints. The symptoms tend to be atypical. A small number of patients have no intermittent period and present with chronic arthritis symptoms after the initial onset.

The above are the physical symptoms that patients experience after developing gout. Generally speaking, after developing chronic gout, patients should undergo diagnosis and treatment of the disease as soon as possible, which will definitely help the disease heal sooner. However, then again, if we do not treat gout as soon as possible, the consequences will be very serious.

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