Symptoms of Gout
Where is the classic presentation of gout?
Hello, I'm Dr. Pamela Rosenthal, Rheumatologist at the NYU Langone Medical center for About.com. In this video, I'll be discussing the common symptoms of gout.Gout is an extremely common and debilitating form of arthritis that is caused by uric acid crystals forming in the joint and provoking a very powerful inflammatory response. The signs and symptoms of gout are acute pain, acute swelling, and often overlying redness of the joint that's affected.The classic gout presentation is in the first big toe of the foot. It is often rather abrupt at the onset. Patients describe going to bed at night feeling well and then being woken up in the middle of the night by this excruciating pain. Even the pressure of the sheet over their foot might be overwhelmingly painful for them.Gout can affect many and all joints of the body in addition to the big toe; ankles, elbows, wrists; small joints such as joints of the hand are affected, although less commonly, and also large joints such as the knee. Our classic gout patient in history might by somebody like Henry VIII, who ate a diet rich in organ meats. In the modern era, many people get gout for many different reasons.Many patients, after that classic acute onset, describe a sort of tingling or subtle pain that allows them to anticipate a gout attack in the affected joint. Gout can occur rarely, depending on a given patient, or it can occur every few weeks to months. We often determine how a patient should be treated depending on the frequency of attacks that a patient experiences.Thanks for watching. To learn more, please visit About.com.