More affected by gout; having gout to a greater degree, or more inclined to having gout.
Comparative form of 'gouty' (from 'gout,' derived from Latin 'gutta' meaning 'drop,' because gout was thought to result from corruption dripping into the joints). The comparative suffix '-er' is standard.
Medieval doctors literally thought gout was caused by liquid corruption dripping into your joints—the Latin word 'gutta' (drop) gave us the disease name, and even though we know better now, the word still carries that ancient misconception.
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