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EasyRheumatologyAcute goutau-racgpau-amc

A 34-year-old man presents with a painful swollen first metatarsophalangeal joint. He has a history of similar attacks. Synovial fluid from the joint shows negatively birefringent needle-shaped crystals and no organisms. What is the MOST appropriate initial pharmacological treatment if there are no contraindications?

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