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EasyRheumatologyAcute goutau-amcau-racgp

A 55-year-old man presents with acute monoarthritis of the first metatarsophalangeal joint. It is red, hot, swollen and exquisitely tender. Serum urate taken during the attack is 0.52 mmol/L (high). He has hypertension treated with thiazide. According to Australian gout guidelines, what is the most appropriate acute treatment?

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