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MediumRheumatologyChronic gout managementau-amcau-racgp

A 56-year-old man presents with sudden excruciating pain, redness and swelling in his right first metatarsophalangeal joint. Joint aspirate shows needle-shaped negatively birefringent crystals and no organisms. After the acute episode resolves, what is the most appropriate long-term urate management strategy to prevent further attacks, assuming normal renal function?

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