A 62-year-old man with chronic gout and CKD stage 3 presents with an acute monoarthritis of the first metatarsophalangeal joint, red and very tender. He is on low-dose allopurinol. What is the most appropriate treatment for this acute attack?AHigh-dose NSAIDs without dose adjustmentBColchicine at reduced dose appropriate for renal functionCIncrease allopurinol dose immediatelyDIntra-articular steroid injection or short oral steroid course if infection excludedECombination of colchicine and NSAIDs at full doses regardless of renal functionCheck my answer