Royalty free and rights managed images relating to gout. Gout is a condition in which uric acid crystals are deposited inside joints, usually due to high blood levels of uric acid (hyperpuricaemia). This is an extremely painful condition, which leads to swelling of the joint and intense pain on moving or even lightly touching the affected joint. Treatment is with anti-inflammatory drugs and changes in diet. Pictures and photographs include clinical and diagnostic images of patients and their affected joints.