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MediumRheumatologyGoutau-racgpau-amc

A 28-year-old man presents with atraumatic, hot, swollen first metatarsophalangeal joint. He has a history of gout and moderate CKD (eGFR 45 mL/min/1.73 m^2). What is the most appropriate first-line treatment for this acute flare?

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