Question
A 26-year-old male comes with complaints of severe left great toe pain; a picture of his left foot is shown below. Which of the following interventions is best for long-term treatment of this condition?
| A. |
Probenecid
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| B. |
Colchicine
|
| C. |
Allopurinol
|
| D. |
NSAIDS
|
Show Answer
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Correct Answer � C
Explanation
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|
Ans. C. Allopurinol
The patients’ history of severe left toe pain, along with the clinical picture makes Gout the most likely diagnosis.
Allopurinol is the best long-term therapy for this condition.
All of these therapies can improve gout symptoms, but allopurinol is the best long-term therapy for gout.
The first episode of acute gouty arthritis frequently begins at night with dramatic joint pain and swelling. Joints rapidly become warm, red, and tender, with a clinical appearance that often mimics that of cellulitis. The metatarsophalangeal joint of the first toe often is involved.
