What is Gout?

Gout is a type of arthritis (inflammation of a joint), and one of the most common.

It manifests as an acute attack often coming on overnight. Within 12-24 hours there is severe pain and swelling in the affected joint. The skin over the joint may be red and shiny.

Gout usually affects only one or two joints at a time - most often the feet and ankles. The ball of the big toe is the commonest site.

Without treatment the attack subsides in a week or so and when patients first develop gout there may be intervals of many months or even years between attacks.

As time goes by, these can become more frequent and more severe and eventually many joints may be involved, sometimes all at the same time. At this stage a state of chronic or continuous joint disease may develop with progressive joint damage, disability and crippling (chronic gout).