I have painful red swollen joints, i have brusing, i have red spots on lower limbs, Skin is hot to touch, my urine smells like amonia this is on both sides difficultly walking. in my shoulders elbows wrist, ankles, knees and hips my ana was negative .. my primary dr gave me predinsone. my mom has genetic gout and has been on allopurino for 20 years. she gave me one of her tablets i was able to walk a little better. dr doing uric acid level after my attack got worse no results yet.