Question

A 52-year-old with newly diagnosed gout (serum urate 9.2 mg/dL, tophus present) asks about chronic therapy. What is recommended?

Accepted Answer

Start allopurinol with treat-to-target urate <6 mg/dL

Answer

Start probenecid in CKD stage 3

Answer

Avoid urate-lowering therapy until >=3 flares

Answer

Start febuxostat in all patients first-line

Answer

High-dose aspirin to reduce urate

Practice question

A 52-year-old with newly diagnosed gout (serum urate 9.2 mg/dL, tophus present) asks about chronic therapy. What is recommended?