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The large joint at the base of the big toe (first metatarsalphylangeal joint) is the most common site for a gout attack but other joints commonly affected are the ankles, knees, wrists, fingers, and elbows.
Credit: awesomnesslol666 CC-BY 2.0. Gout can affect any joint, but 70 percent of people suffering from gout have their first outburst in their big toe. The pain is often intense, and it may cause difficulty walking. The pain usually develops over a few hours and may last for up to several weeks.