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EasyRheumatologyAcute goutau-amcau-racgp

A 38-year-old man presents with a hot, swollen first metatarsophalangeal joint. Symptoms began overnight. He has a history of hyperuricaemia. Examination suggests acute gout. He has no renal impairment or peptic ulcer disease. What is the most appropriate first-line pharmacological treatment?

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