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11. Fast Onset, Normally at Night

The distinctive qualities of a gout attack are that it usually comes on suddenly, quickly, and at night. A flare can reach its worst point within 12 hours. The person may not have shown any signs of an impending flare during the day and then wake up at night in severe pain.

Understanding Gout: A Guide to its 12 Symptoms uanmonino / Getty Images

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