Signs and Symptoms of Gout. 1  hyperuricemia. 2  presence of uric acid crystals in joint fluid. 3  more than one attack of acute arthritis. 4  arthritis that develops in a day, producing a swollen, red, and warm joint. 5  attack of arthritis in only one joint, often the toe, ankle, or knee.out can progress through four stages: 1  Asymptomatic (without symptoms) hyperuricemia. 2  In this stage, a person has elevated levels of uric acid in the blood (hyperuricemia), but no other symptoms. 3  Treatment is usually not required. 4  Acute gout or acute gouty arthritis.