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Avian Gout

Other Names: Visceral Gout, Articular Gout, Renal Gout, Urate Deposition

Avian gout is a metabolic disorder characterized by abnormal accumulation of uric acid in the bloodstream, leading to the deposition of urates on and within articular surfaces and visceral tissues.
There are two forms of gout in chickens, which are classified based on where urates accumulate.
  • Articular gout: Urates accumulate in the synovial capsules and tendon sheaths of the joints. Over time, these deposits can lead to joint damage and bone erosion.
    Clinical signs include:
    • Soft, painful swellings on the feet which progress to pea- or bean-sized raised nodules.
    • Lameness or difficulty walking
  • Visceral gout (avian urolithiasis): This is the more common and acute form of gout in chickens. It is characterized by the deposition of white, chalky urate crystals on the surfaces of internal organs and within body cavities, including the liver, heart, kidneys, air sacs, intestines, and peritoneum. Visceral gout is often associated with kidney dysfunction or multiple organ failure which can progress rapidly.
    Clinical signs include:
    • Diarrhea, often with white urates adhering to the vent feathers (“pasty vent”)
    • Abnormal droppings
    • Increased thirst (polydipsia)
    • Progressive weight loss
    • Reduced appetite
    • Depression or lethargy

Causes and Risk Factors


Gout in chickens can result from a variety of dietary, management, infectious, toxic, and genetic factors.
Diet-related factors:
  • Excess calcium:Feeding high-calcium diets (greater than 1.2%) to non-laying birds—such as chicks, pullets, roosters, or non-laying hens—can lead to kidney damage. This commonly occurs when all flock members are fed layer feed. Poor-quality feed or excessive calcium-rich treats can also contribute.
  • Excess protein:Diets exceeding approximately 23% protein can result in increased uric acid production.
  • Vitamin deficiencies:: Inadequate levels of vitamin A and vitamin D3 can cause renal damage. Vitamin A deficiency is more likely in chickens without access to fresh greens or pasture.
  • Low phosphorus : Phosphorus helps maintain proper pH. Deficiency may increase the risk of kidney stone formation.
  • High cholesterol diets: May contribute to kidney dysfunction.
  • Purine-rich diets: Feeding meat or high-fructose products can increase uric acid production.
Management-related factors
  • Dehydration: Limited access to clean water—especially during extreme heat or freezing conditions—can impair kidney function and increase gout risk.
Viral infectionsThese viruses can damage the kidneys and predispose chickens to visceral gout.
Toxins and medications:
  • Mycotoxins: Eating moldy or improperly stored feed containing mycotoxins can cause kidney damage.
  • Aminoglycoside antibiotics:(e.g., gentamicin, amikacin) are known to be nephrotoxic.
  • Disinfectants and insecticides: Improper use or overdosing can cause toxicity.
  • Sodium bicarbonate: Can disrupt the normal pH balance and increase the risk of kidney stone formation.
  • Poisonous plants: Ingestion of plants containing calcinogenic glycosides, such as Cestrum diurnum.
Genetics:
Certain breeds, such as New Hampshire chickens, are predisposed to articular gout due to inherited differences in uric acid handling.

Clinical Signs

Lameness (often shifting between legs)
Joint swelling, pain, and reduced mobility
Small soft swellings and nodules on feet
Difficulty walking or perching
Increased thirst
Depression or lethargy
Reduced appetite

Diagnosis

  • History
  • Clinical signs
  • Physical Exam
  • Urinalysis
  • Blood chemistry
  • Radiographs: May show radiopaque opacities on articular and visceral surfaces
  • Biopsy
  • Cytology

Reported Cases

  • Case 1: Amyloidosis and Gout in a Flamingo On presentation, a flamingo was weak and thin. Supportive care was given, but bird was found dead two days later. The plantar aspects of both feet have thickened/calloused 1-1.5 cm diameter lesions with a small central crater over the proximal joints of digits one, two, and three. Associated joints contain cloudy, viscous fluid. Ref

  • Case 2: Visceral gout and Cryptosporidiosis in a Commercial laying hens Formalin-fixed kidney tissues from adult egg-laying chickens in two houses of an egg-production complex in the upper Midwest were submitted to Iowa State University for histopathologic examination. An increased incidence of visceral gout, average daily mortality 1%-2% higher than expected, and egg production within normal limits were observed in both houses. Numerous developing stages of Cryptosporidium were observed on the apical surface of epithelial cells lining renal collecting tubules and ureters. Scanning and transmission electron microscopy were used to visualize colonization of cryptosporidia, disruption of microvilli, and exfoliation of parasitized epithelial cells. Lymphoplasmacytic infiltration in the wall of ureters and hyperplasia of parasitized epithelial cells resulted in partial obstruction of ureters, which may have induced visceral gout in affected hens. Ref

Treatment

NameSummary
Supportive careIsolate the bird from the flock and place in a safe, comfortable, warm location (your own chicken "intensive care unit") with easy access to water and food. Limit stress. Call your veterinarian.
Dietary modificationAdjusting nutrient levels to meet appropriate requirements.M.S. Echols; J Mayer
Fluid therapyM.S. Echols; J Mayer
AllopurinolMay be used to reduce uric acid productionM.S Echols; K Marx; J Mayer
colchicineCan improve uric acid solubility and help control hyperuricemia.M.S. Echols; J Mayer
Omega-3 fatty acidsM.S. Echols ; J Mayer
Parenteral Vitamin A M.S. Echols; J Mayer

Support

Prevention

  • Provide constant access to clean, unfrozen water
  • Check to make sure feed contains Vitamin A (not all of them do)
  • Feed balanced diets with appropriate protein levels
  • Avoid feeding layer feed to non-laying birds
  • Offer access to pasture or fresh greens
  • Avoid excessive calcium and purine-rich foods

Scientific References

Age Range

Risk Factors

  • Dehydration
  • Vitamin deficiencies
  • High protein or high cholesterol diets
  • Mycotoxin exposure
  • Feeding high calcium diets to non-laying hens
  • High-fructose intake: increases the risk of gout and causes phosphate depletion.
  • Nephrotoxic medications or substances
  • Genetic predisposition
  • Exposure to nephrotoxic plants

Seasonality

WinterSpringSummerAutumn