A 56-year-old man presents with sudden onset of severe pain, redness and swelling in the first metatarsophalangeal joint. He has similar episodes in the past. Serum urate is elevated. What is the most appropriate acute treatment?AStart allopurinol immediatelyBStart colchicine or an NSAID for acute gout attackCStart long-term low-dose prednisoneDAdvise dietary modification onlyEAspiration and intra-articular steroid are contraindicatedCheck my answer