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1 definition by tSilva2011

 
1.
Although the true meaning of gout is ''a kind of arthritis that occurs when uric acid builds up in the joints. Acute gout is a painful condition that typically affects one joint'' when used as an adjective gout becomes an insult, meaning 'ill person' or 'an individual that is painful to be around.'

Also can be used as a verb of a similar meaning. Someone might inflict annoyance and mental pain on someone, thus will gout them, or is gouting.
That boy will gout you out, man
by tSilva2011 August 09, 2011