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The Gout Stages

By HERWriter
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recognize the stages of gout Hemera/Thinkstock

Gout affects more than five million people in the United States. More than 5 percent of arthritis cases are diagnosed as gout, which is a very painful form of rheumatic arthritis.

The National Institutes of Health (NIH) has reported the following statistics regarding gout:

• Gout is very rare in children and young adults

• Men between 40 and 50 are more likely to develop gout than women

• Women rarely develop gout before menopause

• Gout occurs in approximately 840 out of every 100,000 people

This very painful disease occurs when there is a build-up of uric acid and the acid turns into spike-like crystals which create inflammation in your joints.

According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) there are four stages of gout:

• Asymptomatic (without symptoms) hyperuricemia

• Acute gout, or acute gouty arthritis

• Interval or intercritical gout

• Chronic tophaceous gout

The NIAMS website defines the four stages of gout as follows:

“Asymptomatic (without symptoms) hyperuricemia. In first stage of gout, a person has elevated levels of uric acid in the blood (hyperuricemia), but no other symptoms. Treatment is usually not required.

“Acute gout, or acute gouty arthritis. In this stage, hyperuricemia has caused the deposit of uric acid crystals in joint spaces. This leads to a sudden onset of intense pain and swelling in the joints, which also may be warm and very tender. An acute attack commonly occurs at night and can be triggered by stressful events, alcohol or drugs, or the presence of another illness. Attacks usually subside within 3 to 10 days, even without treatment, and the next attack may not occur for months or even years. Over time, however, attacks can last longer and occur more frequently.

“Interval or intercritical gout. This is the period between acute attacks. In this stage, a person does not have any symptoms.

“Chronic tophaceous gout. This is the most disabling stage of gout. It usually develops over a long period, such as 10 years. In this stage, the disease may have caused permanent damage to the affected joints and sometimes to the kidneys. With proper treatment, most people with gout do not progress to this advanced stage.”

If you believe you have gout, you can take the 17 question gout screening quiz at http://arthritis.about.com/od/gout/l/blgoutscrquiz.htm/

Please note that this test is not a medical diagnosis. Please contact your doctor immediately if you have any symptoms of gout.


Eustice, C. Gout in Women and Men - Some Gout Risk Factors Are Shared With Both Women and Men. About Arthritis - Rheumatoid Arthritis - Osteoarthritis - Related Joint Diseases. Retrieved May 9, 2012, from http://arthritis.about.com/od/gout/a/goutwomenmen.htm

Q&A About Gout. Arthritis, Musculoskeletal and Skin Diseases Home Page. Retrieved May 9, 2012, from http://www.niams.nih.gov/health_info/gout/default.asp#stages

Reviewed May 9, 2012
by Michele Blacksberg RN
Edited by Jody Smith

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We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.


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