![]() Tophi - large chunks of urate crystals in and around the joints, particularly in the finger joints.Chronic tophaceous gout - the most severe type of gout, which takes about 10 years to develop and usually only in people who do not get proper treatment it can cause:.Interval or intercritical gout - the time between flare-ups (acute gout), which can last months or years, when symptoms are reduced urate crystals are still forming.Acute gout - urate crystals suddenly cause inflammation and intense pain sudden attacks (flare-ups) take five to seven days before they get better and can be triggered by alcohol, cold weather, drugs and stressful events.Asymptomatic hyperuricemia - high blood levels of uric acid without any symptoms although treatment is not needed, urate crystals may form and slightly damage your joints, so it is recommended that you take action to reduce your uric acid levels.If left untreated, gout can lead to joint damage and chronic arthritis. Crystals build up slowly but if they work loose into the space inside your joint (synovial cavity), they can trigger an acute attack of inflammation. This causes inflammation, pain and swelling. If uric acid builds up in your blood, it causes sharp, needle-shaped urate crystals to form in and around your joints. You may have high blood levels of uric acid because your body is making too much uric acid or because your kidneys aren't removing enough of it from your body. Uric acid is a chemical produced by your body, but usually, it's flushed away in your urine. Gout develops if there is too much uric acid in your blood. If you get immediate treatment, gout may not permanently damage your joints. ![]() It usually affects men in their 40s and attacks last from five to seven days on average before getting better. It is associated with other metabolic problems (ie problems relating to the chemical reactions occurring in your body) and is often a warning sign to assess the healthiness of your lifestyle. ![]() Gout is one of the most painful forms of arthritis and the most common form of inflammatory arthritis. ![]()
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