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My knee will be bright red during an attack, and also hot to the touch.
Gout pain isn't actually caused by the purine crystals. Instead, it's caused by your immune system's reaction to those crystals. That's why gout isn't always sore. It flares up when the body decides that it's had enough, and fights to break down the crystals. The minor pains one feels after a gout attack are caused by the body repairing the holes and voids left by the purine crystals.
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