Gout
"30 year old male.  had gout for 1 year.  1st attack so bad that it developed tophi in my big toe joint. Uric acid was 9.6 at the time.  Made some diet changes but that only brought me down to 7.4.  I have gout attacks quite often, but most are mild.  Ive been on 100mg allopurinol for a month with no side effects.  Uric acid is now 6.2 so I had my dosage increased to 200mg so I can get below 6.  It is very important to get on daily colchicine (0.6mg twice a day) while starting allopurinol.  I learned the hard way."