A 60-year-old man presents with acute onset of a hot, swollen first metatarsophalangeal joint. He is afebrile, with serum urate 550 µmol/L. This is his first such episode. What is the most appropriate initial management?AStart Allopurinol immediately and titrate the dose during the acute attackBTreat the acute attack with NSAIDs or colchicine and delay urate-lowering therapy discussion until the attack has resolvedCRecommend dietary purine restriction onlyDStart long-term Prednisone 10 mg dailyEPerform joint aspiration only and avoid pharmacologic therapyCheck my answer