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Gout If you experience sudden attacks of severe knee pain and your knee also becomes red and hot, the cause is likely to be gout , which is a type of arthritis. Gout is caused by a build-up of uric acid (a waste product) in the body, which can form crystals in the joints. These crystals cause the joints to become inflamed and painful. Gout will cause severe pain in the knee and limit movement of the joint.
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