Question

A 59-year-old with gout has two flares this year and serum urate 8.6 mg/dL. Best disease-modifying strategy?

Accepted Answer

Allopurinol titrated to target urate <6 mg/dL

Answer

Start febuxostat only if eGFR >90

Answer

Probenecid first-line for all

Answer

Avoid urate-lowering therapy until ≥4 flares/year

Answer

Colchicine PRN only

Practice question

A 59-year-old with gout has two flares this year and serum urate 8.6 mg/dL. Best disease-modifying strategy?