A 60-year-old man presents with sudden onset severe pain, redness and swelling of the first metatarsophalangeal joint. He is afebrile. What is the most appropriate first-line treatment for this acute attack?AParacetamol aloneBNon-steroidal anti-inflammatory drug such as NaproxenCAllopurinol initiation at high doseDColchicine plus long-term PrednisoloneEImmediate joint replacement surgeryCheck my answer