The reason that uric acid levels are not high during a gout attack is because urate crystals are deposited in the joints, causing uric acid levels in the blood to drop.
The cause of gout attack is mainly related to hyperuricemia. When gout attack occurs, urate crystals are deposited in the synovial membrane and around the joints, which leads to an acute attack of gout. Gout attacks are mainly characterized by significant redness, swelling, pain, and increased skin temperature in the joints.
In most patients, uric acid levels are significantly elevated during a gouty attack. In some patients, the urate deposits in the joints cause the uric acid levels in the blood to drop, possibly to normal levels.
For patients with gout, it is recommended to consult the rheumatology and immunology departments of regular hospitals for standardized diagnosis and treatment under the guidance of doctors.