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.