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MediumRheumatologyChronic gout managementca-mccqe1ca-ccfpca-rcpsc-im

A 48-year-old man with episodic severe pain, redness and swelling of the first metatarsophalangeal joint is found to have monosodium urate crystals on joint aspiration. Serum uric acid is elevated. He has had three attacks in the past year. According to gout management guidelines, what is the most appropriate long-term strategy?

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