A 50-year-old man has an acutely painful red first metatarsophalangeal joint. Aspiration shows needle-shaped negatively birefringent crystals. What is the treatment of the acute attack?
Answer and explanation
Correct answer: B. An NSAID such as indomethacin
- Step 1: Acute gout is treated with NSAIDs, colchicine or steroids; urate-lowering therapy is started later. Answer: An NSAID such as indomethacin. Why not the others: Allopurinol started immediately, Intravenous antibiotics and Joint replacement don't fit.
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