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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.
1 The first gout attack usually affects the large joint of the big toe, but it can occur in feet, ankles, knees, hands and wrists. 2  After the most severe pain subsides, some joint discomfort may last from a few days to a few weeks. 3  Kidney stone symptoms may also occur.