Question

A 62-year-old with recurrent gout has 3 attacks in the past year and visible tophi. Serum urate is 8.9 mg/dL and eGFR is 60 mL/min/1.73 m². Which is the best next step?

Accepted Answer

Start allopurinol now and titrate to serum urate <6 mg/dL

Answer

Start colchicine prophylaxis only

Answer

Advise diet change only

Answer

Begin febuxostat monotherapy first-line

Answer

Start probenecid as first-line therapy

Practice question

A 62-year-old with recurrent gout has 3 attacks in the past year and visible tophi. Serum urate is 8.9 mg/dL and eGFR is 60 mL/min/1.73 m². Which is the best next step?