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 episodes. Serum urate is elevated. What is the most appropriate initial treatment for this acute attack?

Accepted Answer

Non-steroidal anti-inflammatory drug (NSAID) or colchicine

Answer

Start allopurinol immediately

Answer

Long-term low-dose aspirin

Answer

Probenecid immediately

Answer

No treatment as it will resolve spontaneously

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 episodes. Serum urate is elevated. What is the most appropriate initial treatment for this acute attack?