Hello dear
Thanks for reaching out
Having sequential involvement of both ankles over a small period of time (6 months in your case) could be due to a systemic disease. I hope they have been ruled out by due testing.
If not we need to look beyond just raised
uric acid for a raised uric acid without small joints involvement is not gout.
Regards
Dr Vipin Gupta
Next Steps
Consult online or can connect in person if based in delhi.