Gout is a uric acid problem. If you get enough Uric acid in your synovial fluid (the fluid in your joints), it will sometimes get to the point that it's supersaturated... and will precipitate out of solution in the form of Monosodium Urate crystals.
Your WBCs ingest these crystals, die, and lead to a very nasty, inflammatory arthritis in the affected joint... and it's usually only one joint (medical term for it is Podagra when it pops up in the big toe... but you can get it in the knee, the elbow, the wrist... etc.)
Historically, Gout was known as a disease of kings and the nobility... no doubt this was partially satirical... but it's also because they were usually the only ones who had the kind of diet that would generate Gout. Unlike the peasantry (who sometimes didn't eat at all), the nobility ate foods rich in purines, including lots of meats, beer, liver, sweetbread, etc. These days, the average western diet can easily create gout in just about anybody (there is a genetic predisposition).
Anti-inflammatory agents, pain medicines, and steroids are about all you have.
Good luck... Gout sucks.