A 56-year-old man presents with sudden onset of severe pain, redness and swelling in the first metatarsophalangeal joint. He has similar episodes in t...

Question

A 56-year-old man presents with sudden onset of severe pain, redness and swelling in the first metatarsophalangeal joint. He has similar episodes in the past. Serum urate is elevated. What is the most appropriate acute treatment?

Accepted Answer

Start colchicine or an NSAID for acute gout attack

Answer

Start allopurinol immediately

Answer

Start long-term low-dose prednisone

Answer

Advise dietary modification only

Answer

Aspiration and intra-articular steroid are contraindicated

ca-mccqe1 MCQ (SBA): Gout

A 56-year-old man presents with sudden onset of severe pain, redness and swelling in the first metatarsophalangeal joint. He has similar episodes in the past. Serum urate is elevated. What is the most appropriate acute treatment?