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 first symptom of gouty arthritis is typically the sudden onset of a hot, red, swollen, stiff, painful joint. The most common joint involved is in the foot at the base of the big toe where swelling can be associated with severe tenderness, but almost any joint can be involved (for example, knee, ankle, and small joints of the hands).