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Although the true meaning of gout is ''a kind of arthritis that occurs when uric acid builds up in the joints. Acute gout is a painful condition that typically affects one joint'' when used as an [adjective] gout becomes an insult, meaning 'ill person' or 'an [individual] that is painful to be around.' Also can be used as a verb of a similar meaning. Someone might inflict annoyance and [mental pain] on someone, thus will gout them, or is gouting.
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