A 58-year-old man presents with acute onset first metatarsophalangeal joint pain, erythema and swelling. Serum urate is 0.52 mmol/L. He has no tophi o...

Question

A 58-year-old man presents with acute onset first metatarsophalangeal joint pain, erythema and swelling. Serum urate is 0.52 mmol/L. He has no tophi or chronic kidney disease. According to gout management principles, which option is most appropriate for this acute attack?

Accepted Answer

Non-steroidal anti-inflammatory drug (NSAID) or colchicine for acute pain relief

Answer

Start allopurinol immediately at high dose

Answer

Long-term low-dose prednisone

Answer

Initiate febuxostat immediately

Answer

Advise lifestyle measures only and avoid pharmacologic therapy

ca-mccqe1 MCQ (SBA): Acute gout

A 58-year-old man presents with acute onset first metatarsophalangeal joint pain, erythema and swelling. Serum urate is 0.52 mmol/L. He has no tophi or chronic kidney disease. According to gout management principles, which option is most appropriate for this acute attack?