Gout is a serious metabolic disease commonly encountered during poultry postmortem examinations, especially in broilers and layer chicks. It often results in kidney failure and significant mortality, becoming a major source of economic loss for poultry farmers. For veterinary students and professionals, understanding the pathophysiology, diagnosis, and preventive strategies of gout is essential for managing flock health effectively.
What Is Poultry Gout?
Gout in poultry is defined by the accumulation of uric acid crystals (urates) on internal organs or joints, leading to acute or chronic conditions. The disease manifests as two types:
- Visceral Gout: More common and acute, it involves urate deposition on internal organs like the liver, kidney, heart, and intestines. It affects younger birds and can lead to mortality rates as high as 35%.
- Articular Gout: A chronic form of gout seen less frequently in poultry, marked by uric acid deposits in joints and tendons. It often has a genetic predisposition.
In both types, the uric acid forms needle-shaped, shiny white crystals known as tophi, with blood uric acid levels sometimes rising to 44 mg/100ml, far above the normal 5–7 mg/100ml.
Causes of Gout in Poultry

Gout is multifactorial in origin and can result from both managemental and nutritional errors, including:
- Inadequate or contaminated water supply, leading to dehydration.
- Overcrowding or insufficient number of drinkers.
- High dietary calcium or imbalanced calcium-to-phosphorus ratio.
- Protein overload in feed formulations.
- Vitamin A deficiency impairing kidney function.
- Excess salt (sodium chloride) in the diet.
- Nephrotropic viral infections (e.g., infectious bronchitis).
- Mycotoxins like ochratoxin and oosporein damaging renal tissues.
- Electrolyte imbalance.
- Overuse of sodium bicarbonate in drinking water.
How Gout Develops: The Pathogenesis

Poultry excrete nitrogenous waste in the form of uric acid due to the absence of the enzyme uricase. This uric acid is normally filtered out by the kidneys. When production exceeds the kidney’s capacity to eliminate uric acid—or if kidney function is impaired—uric acid accumulates and precipitates into crystalline deposits.
These urate crystals, when deposited in joints, can trigger intense inflammatory responses, mimicking arthritis and causing further complications.
Postmortem Findings in Poultry Gout
Gout lesions are visually striking and help in clinical diagnosis:
- White chalky deposits on heart, kidneys, lungs, and liver.
- Enlarged kidneys with a grayish-white appearance and urate-filled ureters.
- In articular gout, joints appear white and swollen due to urate deposition.
- Deposits start at the heart and gradually spread to other organs.

Diagnostic Methods for Gout
Diagnosis involves both clinical and laboratory evaluation, including:
- Joint fluid analysis for urate crystals using polarized light microscopy.
- Blood tests to assess serum uric acid and creatinine levels.
- X-rays or ultrasound imaging to detect crystal build-up or inflammation in joints.
Differentiating Gout from Other Conditions

Several conditions may mimic gout, so accurate differentiation is vital:
- Pseudogout: Characterized by calcium pyrophosphate crystals.
- Trauma or reactive arthritis: No uric acid crystals present.
- Septic arthritis or RA: Bacterial growth or inflammatory markers without urates.
Final Thoughts
Understanding gout in poultry—its symptoms, diagnosis, and causes—is crucial for veterinary practitioners, poultry farm managers, and especially for B.V.Sc. & A.H. students preparing for competitive exams. Recognizing the early signs and addressing root causes like feed imbalance and water management can significantly reduce mortality and economic loss.
To explore more in-depth lessons like this and prepare smarter for your veterinary exams, check out our full veterinary pathology module on Pedigogy.com here https://pedigogy.com/courses/learn-poultry-pathology-and-oncology-with-indira/