A 55-year-old man presents with acute onset severe pain, swelling and erythema at the first metatarsophalangeal joint. He has a history of similar epi...

Question

A 55-year-old man presents with acute onset severe pain, swelling and erythema at 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 gout flare?

Accepted Answer

High-dose NSAID or colchicine, considering contraindications

Answer

Start allopurinol immediately and no anti-inflammatory medications

Answer

Begin chronic low-dose aspirin

Answer

Use long-term systemic glucocorticoids without taper

Answer

No treatment is required as gout is self-limiting

ca-mccqe1 MCQ (SBA): Acute gout management

A 55-year-old man presents with acute onset severe pain, swelling and erythema at 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 gout flare?