Gout can do this: You certainly describe the presentation of gout. The big toe is extremely common place for gout to affect. However, you are young for gout unless you have a medical issues such as kidney problems or other rare medical conditions. I assume you did not injure the toe. You need to be evaluated where labs can be checked including a uric acid level and kidney function. Joint aspiration also may be done
Answered 11/11/2017
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