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Gout — SCE Rheumatology MCQ

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HardCrystal ArthropathyGoutSCE Rheumatology

A patient with a first uncomplicated gout flare is improving and has agreed to start urate-lowering therapy. When should treatment usually begin?

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Correct answer: E — Start two to four weeks after the flare settles

NICE generally starts ULT two to four weeks after a flare has settled; in people with frequent flares it can be started during a flare. The decision is based on indications and shared planning rather than waiting for extreme hyperuricaemia or structural damage.

Reference: NICE NG219: gout — recommendations (Published June 2022): https://www.nice.org.uk/guidance/ng219/chapter/Recommendations; BSR guideline for management of gout (Published June 2017; correction incorporated): https://academic.oup.com/rheumatology/article/56/7/1246/3866589