Hello. Gouty first attack mostly involves the first metatarsophalangeal joint of both feet, which is the joint connecting the big toe to the ball of the foot, and if the uric

acid is not well controlled, it can involve several joints throughout the body, such as the wrist joint, the small joint joints of the hand, and the knee joint.

In patients with untreated or poorly treated gout stones and chronic arthritis stage, urate crystals precipitated in cartilage, tendons, bursal fluid, and

soft tissues then occurs in the olecranon, forearm extensor, metatarsal phalanges, fingers, and elbows.

Have a good life.