A 29-year-old with acute gout flare asks if starting allopurinol during the flare worsens pain. Best counseling?...

Question

A 29-year-old with acute gout flare asks if starting allopurinol during the flare worsens pain. Best counseling?

Accepted Answer

Initiation during flare is acceptable with anti-inflammatory prophylaxis

Answer

Do not start during a flare under any circumstance

Answer

Delay ULT until symptom-free for 6 months

Answer

Start probenecid immediately

Answer

ULT initiation must be inpatient

us-abfm MCQ (SBA): Gout Management