A 40-year-old man has come into the clinic with complaints of "extreme tenderness in my toes." The nurse notices that his toes are slightly swollen,reddened,and warm to the touch.His complaints would suggest:

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Acute gout occurs primarily in men over 40 years of age.Clinical findings consist of redness,swelling,heat,and extreme tenderness.Gout is a metabolic disorder of disturbed purine metabolism,associated with elevated serum uric acid.See Table 22-1 for descriptions of the other terms.

A 40-Year-Old Man Has Come into the Clinic with Complaints