Clinical---History Podagra is the initial joint manifestation in ca-o gout ca ses. Eventually, it is involved in of cases Other than the great toe, the most common sites of gouty arthritis are the ankle, wrist, and knee. In early gout, only 1 or 2 joints are usually involved Gout attacks begin abruptly and reach maximum intensit y within 8-12 hours. The joints are and exquisite y tender; even a bed sheet on the swollen joint is uncomf ortable. Untreated, the first attacks resolve spontaneously in less than 2 weeks. Gout initially presents as polyarticul ar arthritis in 10% of patients 浙医二院8 浙医二院 Clinical---History Podagra is the initial joint manifestation in 50% of gout ca ses. Eventually, it is involved in 90% of cases. Other than the great toe, the most common sites of gouty arthritis are the ankle, wrist, and knee. In early gout, only 1 or 2 joints are usually involved. Gout attacks begin abruptly and reach maximum intensit y within 8-12 hours. The joints are red, hot, and exquisitel y tender; even a bed sheet on the swollen joint is uncomf ortable. Untreated, the first attacks resolve spontaneously in less than 2 weeks. Gout initially presents as polyarticul ar arthritis in 10% of patients