Question

A 62-year-old man presents with acute monoarthritis of the first metatarsophalangeal joint. The joint is red, hot and very tender. Serum urate is elevated. There are no signs of sepsis and renal function is normal. What is the most appropriate initial treatment?

Accepted Answer

Colchicine or NSAIDs for acute flare

Answer

Allopurinol

Answer

Probenecid

Answer

Chronic low-dose prednisolone

Answer

Intra-articular hyaluronic acid injection

Practice question

A 62-year-old man presents with acute monoarthritis of the first metatarsophalangeal joint. The joint is red, hot and very tender. Serum urate is elevated. There are no signs of sepsis and renal function is normal. What is the most appropriate initial treatment?