A 36-year-old man returns 3 months after an episode of acute gout. He has had three flares in the past year and serum urate is 9.2 mg/dL. Kidney

Question

A 36-year-old man returns 3 months after an episode of acute gout. He has had three flares in the past year and serum urate is 9.2 mg/dL. Kidney function is normal. He is asymptomatic today. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Start urate-lowering therapy with flare prophylaxis

Answer

Avoid treating between flares

Answer

Begin chronic high-dose aspirin

Answer

Use antibiotics during future flares

Answer

Schedule joint replacement

Recurrent gout — USMLE Step 3 MCQ

A 36-year-old man returns 3 months after an episode of acute gout. He has had three flares in the past year and serum urate is 9.2 mg/dL. Kidney function is normal. He is asymptomatic today. Which of the following would you recommend at the follow-up visit?