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The large joint at the base of the big toe (first metatarsalphylangeal joint) is the most common site for a gout attack but other joints commonly affected are the ankles, knees, wrists, fingers, and elbows.
More detail and supporting information is in the main article. 1  Gout is a form of arthritis caused by excess uric acid in the bloodstream. 2  The symptoms of gout are due to the formation of uric acid crystals in the joints. 3  Gout most commonly affects the joint in the base of the big toe.out commonly affects the base of the big toe. When affecting this area, the condition can also be referred to as podagra. The condition is characterized by sudden and severe pains, redness and tenderness in the joints, most commonly in the base of the big toe.