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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.
Gout is a metabolic condition that can affect the big toe joint. Gout occurs when uric acid builds up in the blood, although this does not always cause symptoms. When uric acid forms crystals that deposit into jointsâsuch as the big toe jointâan attack of acute gouty arthritis can occur.