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more can be affected as the disease progresses Affected joint is swollen, painful, warm to the touch, and red Pain from a flare can last up a week or two with long periods of remission in between Causes of Gout Flares Gout, a type of inflammatory arthritis, happens when levels of uric acid a normal byproduct of metabolic reactions in your body become too high, says Kenneth Saag, MD, professor of medicine in the division of clinical immunology and rheumatology at the University of Alabama at Birmingham