A 62-year-old man presents with acute onset red, hot, severely painful first metatarsophalangeal joint. He has had similar attacks previously. Serum u...

Question

A 62-year-old man presents with acute onset red, hot, severely painful first metatarsophalangeal joint. He has had similar attacks previously. Serum urate is elevated. He has normal renal function. What is the most appropriate initial treatment of this acute flare?

Accepted Answer

Oral NSAID at anti-inflammatory dose if no contraindications

Answer

Start allopurinol immediately

Answer

Colchicine prophylaxis only

Answer

Oral antibiotics

Answer

Intra-articular steroid injection only without other measures

au-racgp MCQ (SBA): Gout acute flare treatment

A 62-year-old man presents with acute onset red, hot, severely painful first metatarsophalangeal joint. He has had similar attacks previously. Serum urate is elevated. He has normal renal function. What is the most appropriate initial treatment of this acute flare?