What Is The Cause Of Pain, Swelling And Redness In Finger Pads?

Thank you! I have severe pain in the end pads of my fingers It is a severe burning sensation. I have had gout in my toe in the past and it does feel something like that in as much as I cannot even bear to touch the pads even with a soft piece of fabric. The pads are swollen slightly and quite red. The pads also appear to have small white patches under my skin,particularly noticeable when my hands are wet.