Question

A 50-year-old woman has persistent gout flares; serum urate 8.5 mg/dL, normal renal function. Best long-term urate-lowering therapy per ACR 2020?

Accepted Answer

Allopurinol, start low and titrate to serum urate <6 mg/dL

Answer

Febuxostat as first-line for all

Answer

Probenecid in CKD stage 3

Answer

Colchicine monotherapy for chronic urate lowering

Answer

No ULT unless tophi present

Practice question

A 50-year-old woman has persistent gout flares; serum urate 8.5 mg/dL, normal renal function. Best long-term urate-lowering therapy per ACR 2020?