Gout is the most prevalent form of inflammatory arthritis and is associated with impaired quality of life. Elevation of serum uric acid levels or hyperuricaemia is essential for the development of gout, the clinical presentation of which includes acute attacks of severe pain and inflammation affecting peripheral joints, most commonly the first metatarsophalangeal joint. Chronic joint damage and tophaceous deposits in the joints and skin are also not uncommon. Renal impairment may also be a consequence of hyperuricaemia. Gouty attacks are triggered by the deposition of monosodium urate (MSU) crystals in joints and periarticular tissues. There is substantial anecdotal evidence for the medicinal properties of vinegar (acetic acid) dating back to ancient times, and apple cider vinegar remains a popular home remedy for gout that is actively promoted in the lay press.