Question

A 52-year-old man presents with acute onset severe pain, redness, and swelling of the first metatarsophalangeal joint. He has a history of hypertension and chronic kidney disease stage 3. Serum uric acid is 9.0 mg/dL. Which is the most appropriate acute treatment?

Accepted Answer

Colchicine with appropriate renal dose adjustment

Answer

Low-dose aspirin

Answer

Allopurinol initiation at high dose

Answer

Long-term febuxostat starting now

Answer

Oral calcium supplements

Practice question

A 52-year-old man presents with acute onset severe pain, redness, and swelling of the first metatarsophalangeal joint. He has a history of hypertension and chronic kidney disease stage 3. Serum uric acid is 9.0 mg/dL. Which is the most appropriate acute treatment?