... joint [2,4,14]. Gout may occur in any joint including the ankle, knee, hand, wrist, elbow,sacroiliac joint and other joints of the spine, howevermost commonly occurs in the lower extremity. In ... the management of hypertension [4]. Radiographicfindings also tend to lag behind the clinical manifesta-tions of gout by 5–10 years [14]. This is an especially unu-sual aspect of this case in ... acid levels may be normalduring an attack due to pro-inflammatory cytokines [5].The majority of untreated patients will experience anotheracute attack within 2 years [4]. Prophylactic treatment...