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ModerateRheumatologyAcute goutuk-plab-1

A 30-year-old man attends the GP because of a painful, swollen first metatarsophalangeal joint that started overnight. He drinks six pints of beer most evenings. Examination shows an erythematous, tender hot joint. This is his first attack. Serum urate is elevated. What is the most appropriate acute treatment

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