A study in The Journal of The American Osteopathic Association examines a clinicâs approach to addressing the costly problem of patients missing appointments. READ MORE
Signs and Symptoms of Gout. 1  hyperuricemia. 2  presence of uric acid crystals in joint fluid. 3  more than one attack of acute arthritis. 4  arthritis that develops in a day, producing a swollen, red, and warm joint. 5  attack of arthritis in only one joint, often the toe, ankle, or knee.out can progress through four stages: 1  Asymptomatic (without symptoms) hyperuricemia. 2  In this stage, a person has elevated levels of uric acid in the blood (hyperuricemia), but no other symptoms. 3  Treatment is usually not required. 4  Acute gout or acute gouty arthritis.
Gout is precipitation of monosodium urate crystals into tissue, usually in and around joints, most often causing recurrent acute or chronic arthritis. The initial attack of acute arthritis is usually monarticular and often involves the 1st metatarsophalangeal joint. Symptoms of gout include acute pain, tenderness, warmth, redness, and swelling. Diagnosis requires identification of crystals in synovial fluid. Treatment of acute attacks is with anti-inflammatory drugs.