A study in The Journal of The American Osteopathic Association examines a clinicâs approach to addressing the costly problem of patients missing appointments. READ MORE
Signs and Symptoms of Gout. 1  hyperuricemia. 2  presence of uric acid crystals in joint fluid. 3  more than one attack of acute arthritis. 4  arthritis that develops in a day, producing a swollen, red, and warm joint. 5  attack of arthritis in only one joint, often the toe, ankle, or knee.out can progress through four stages: 1  Asymptomatic (without symptoms) hyperuricemia. 2  In this stage, a person has elevated levels of uric acid in the blood (hyperuricemia), but no other symptoms. 3  Treatment is usually not required. 4  Acute gout or acute gouty arthritis.
The four phases of gout include asymptomatic hyperuricemia, acute gouty arthritis, intercritical gout and chronic tophaceous gout. The peak incidence occurs in patients 30 to 50 years old, and the condition is much more common in men than in women.