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EasyRheumatologyAcute goutca-mccqe1ca-ccfp

A 22-year-old man presents with acute right knee swelling and severe pain after a minor twist. He has a history of recurrent painful red first metatarsophalangeal joints. Serum urate is 0.58 mmol/L. Arthrocentesis of the knee shows needle-shaped negatively birefringent crystals. What is the most appropriate acute treatment?

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