Question

A 29-year-old man presents with sudden painful swollen first MTP joint. He drinks alcohol regularly. Serum urate is raised. Which is the most appropriate acute management?

Accepted Answer

Colchicine or NSAID for acute attack; consider allopurinol after resolution

Answer

Start allopurinol immediately and NSAID

Answer

Intra-articular steroid only if urate >600 µmol/L

Answer

Probenecid immediately

Answer

No treatment; dietary advice only

Practice question

A 29-year-old man presents with sudden painful swollen first MTP joint. He drinks alcohol regularly. Serum urate is raised. Which is the most appropriate acute management?