 [ Symptoms ] can you have gout in your big toe without swelling  i have arthritis and a neuroma in the foot that my big toe hurt so badly but i really do not have swelling in my toe could it be gout anyway [ Disease ] vitiligo can be inherited in the family but not in every member of the generation it is not necessary for vitiligo to develop in childhood the onset can be at any stage of life inheritance was thought to be autosomal dominant with variable expression and incomplete penetrance it means the next generation may or may not have vitiligo there is fair chance that the next generation may not have it and can skip generations vitiligo is not predictable so there are equal chances for further information consult a dermatologist online   > <link>