Gout is a condition where a person's joints—most commonly the big toe—becomes inflamed with urate crystals. This condition often makes itself known at night, when the person awakens to discover a hot, painful sensation in the affected joint. It is not uncommon for people to develop other conditions due to gout. The complications that develop depend on how long the individual has been affected.
When a large number of urate crystals accumulate in the body, they can create raised bumps on the skin. These bumps are called tophi, and they are a sign of severe gout. In some cases of tophi, the white or yellowish urate crystals can be seen beneath the skin. Without treatment, inflamed tophi can burst, releasing a creamy discharge.
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