Question

A 62-year-old man presents with acute onset severe pain, redness and swelling of the first metatarsophalangeal joint. Serum urate is 0.55 mmol/L and renal function is normal. What is the most appropriate initial management of this acute attack?

Accepted Answer

High-dose NSAID (if no contraindications) or colchicine, plus rest and ice

Answer

Start allopurinol immediately

Answer

Long-term low-dose aspirin

Answer

Prophylactic probenecid

Answer

Oral antibiotics

Practice question

A 62-year-old man presents with acute onset severe pain, redness and swelling of the first metatarsophalangeal joint. Serum urate is 0.55 mmol/L and renal function is normal. What is the most appropriate initial management of this acute attack?