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Gout is a joint disease characterized by intense joint pain, redness, and swelling, particularly in the big toes where crystal deposition causes small areas of swelling known as tophi. Gout is a painful inflammatory arthritis that affects many people. It is usually caused by an excess of uric acid in the body. Typically, it only affects one joint at a time (often the big toe joint), but ankles, heels, knees, wrists, fingers, and elbows can all be affected. There are periods when symptoms worsen, referred to as flares, and when there are no symptoms, referred to as remission. Gouty arthritis, a worsening form of arthritis, can develop due to repeated bouts of gout. Gout has no cure, although it can be effectively treated and managed with medications and self-management strategies.