At the initial stage of gout, there are probably the following symptoms: 1. When gout attacks for the first time, there is often a sudden and severe pain in a single joint, which is common in the big toe. The later attack may involve multiple joints, such as ankle joint, knee joint, wrist joint and elbow joint. 2. The pain will get worse gradually, which is usually described as jumping pain or tenderness. Then inflammation will occur, and the affected joints of patients will be red, swollen, hot and tender. The patient can't even bear the weight of the sheets on his joints. In addition, there are fever, rapid heartbeat, chills and general malaise. Uric acid deposited on the skin is called gout stone, which is a kind of white nodule under the skin, mostly appearing in hands, feet, elbows and outer auricles.