Question

A 58-year-old with recurrent gout flares (3/year) and tophus on exam has serum urate 8.7 mg/dL. Best long-term strategy?

Accepted Answer

Start allopurinol low dose and titrate to serum urate <6 mg/dL

Answer

Treat flares only with NSAIDs

Answer

Start febuxostat 80 mg immediately without titration

Answer

Start colchicine 0.6 mg daily indefinitely only

Answer

Avoid ULT because urate is <9 mg/dL

Practice question

A 58-year-old with recurrent gout flares (3/year) and tophus on exam has serum urate 8.7 mg/dL. Best long-term strategy?