Symptoms
Attacks of intense pain, redness and swelling, often in the big toe, developing within hours.
Diagnosis
Identification of crystals in synovial fluid is the reference test. Ultrasound may show characteristic deposits.
Treatment
Treatment of the attack and, when indicated, urate-lowering therapy with a defined target, plus review of medication and associated factors.
Related content
A hot, very painful and swollen joint, especially with fever, requires urgent medical attention.