Gout is the most prevalent inflammatory arthropathy in men caused by elevated serum uric acid levels. This article presents a case study of a 40-year-old male patient with chronic untreated gout exhibited as decompensated global dilated cardiomyopathy. painful nodular joints in the hands and feet. pitting pedal edema. https://www.spidertattooz.com/Kaiser-Copy-Stand-RS-1-with-RA-1-Arm-40-Counterbalanced-Column-and-18-x-20-Baseboard/