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Gout occurs when urate crystals accumulate in your joint, causing the inflammation and intense pain of a gout attack. Urate crystals can form when you have high levels of uric acid in your blood. Your body produces uric acid when it breaks down purines â substances that are found naturally in your body, as well as in certain foods, such as steak, organ meats and seafood.
Symptoms of gout include: 1  Warmth, pain, swelling, and extreme tenderness in a joint, usually a big toe joint 2  . Very red or purplish skin around the affected joint. 3  Limited movement in the affected joint.  Peeling and itching of the skin around the affected joint as the gout gets better.