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EasyRheumatologyAcute Goutmrcgp aktukmlapanemrcem sba

A 40-year-old man presents with acute severe pain and swelling in his right great toe, which started overnight. He reports it is exquisitely tender to touch. He admits to drinking several pints of beer and eating a large steak dinner the previous night. He has had similar, milder episodes in the past. On examination, the metatarsophalangeal joint of the right great toe is erythematous, warm, swollen, and extremely tender. What is the most likely diagnosis?

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