Inflammatory arthritis from hyperuricemia causing uric acid crystal deposition in joints. Acute attacks cause sudden severe pain, swelling, redness, warmth (classically in great toe - podagra). Chronic tophaceous gout causes joint destruction, tophi (deposits) in soft tissues and cartilage. Associated with kidney stones and kidney disease.
Incapacitating tophaceous gout with destruction of multiple joints, massive tophi preventing normal function, or with severe kidney disease
Chronic tophaceous gout with severe joint destruction, large tophi causing disfigurement or functional impairment, or frequent incapacitating attacks
Frequent attacks (>6 per year) despite treatment, tophaceous deposits, moderate joint damage in one or more joints
Moderate frequency attacks (3-6 per year) requiring regular medication, mild chronic symptoms or early joint changes
Rare attacks (1-2 per year) easily controlled with medication, no joint damage
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how gout affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for gout, examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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