Question

A 51-year-old with recurrent gout flares (3 this year) and urate 8.8 mg/dL between attacks asks about long-term management. Best initial urate-lowering strategy?

Accepted Answer

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

Answer

Prophylactic daily NSAIDs indefinitely

Answer

Start probenecid first

Answer

Begin pegloticase

Answer

Diet changes alone

Practice question

A 51-year-old with recurrent gout flares (3 this year) and urate 8.8 mg/dL between attacks asks about long-term management. Best initial urate-lowering strategy?