Over time, repeated gouty attacks can develop into chronic gout, which is a type of arthritis with joint tissue destruction and permanent joint deformity.
Finally, there are some medications like thiazide diuretics and aspirin which can also increase the levels of uric acid and therefore the risk of gout.
" The gold I grant you, " the dwarf said, relieved that he was not about to drown in a gout of half-digested eels and sweetmeats, " but the Rock is mine" .