Gout can affect any joint, but classically it appears in the second joint of the big toe.

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Gout is most commonly associated with pain in the joint of the big toe of middle-aged and older men who are obese, diabetic, hypertensive and drink alcohol, but gout can occur in any joint of adult men and women of any health status and any age.

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Investigators recorded 1, 247 gout attacks during the 1-year follow-up period, with 92% occurring in the joint at the base of the big toe.

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