Gout usually starts in a single joint—often in the large joint of the big toe. But it can also affect other joints, including joints in the feet, ankles, knees, hands, and wrists. At first, gout may only affect one joint at a time. Attacks may occur from time to time in the foot, knee, or other single joints. As time passes, gout can become chronic and start to affect several joints at once.
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