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The most accurate method for diagnosing gout is confirming the presence of uric acid crystal in the joint fluid (synovial fluid). This testing can be done by inserting a needle into the joint and drawing a sample of joint fluid. In the presence of acute gout attack symptoms (severe pain, swelling, or warmth), a synovial fluid test is very difficult to perform. At this time, indirect diagnosis test, such as blood or urine tests can be done.
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