Question

A 56-year-old man presents with acute onset of severe pain, redness, and swelling in the first metatarsophalangeal joint. He has a history of similar attacks. Joint aspiration shows needle-shaped, negatively birefringent crystals. What is the most appropriate initial treatment?

Accepted Answer

Low-purine diet alone

Answer

Colchicine

Answer

Allopurinol

Answer

Probenecid

Answer

Febuxostat

Practice question

A 56-year-old man presents with acute onset of severe pain, redness, and swelling in the first metatarsophalangeal joint. He has a history of similar attacks. Joint aspiration shows needle-shaped, negatively birefringent crystals. What is the most appropriate initial treatment?