試題詳解

7. Tom is a 53-year-old man who recently prese ented with painful subcutancous tophi on his left first metatarsophalangeal joint and his right wrist. The patient had previously been diagnosed with acute gouty arthritis appr proximately 2 years ago but had not experienced an acute attack since his original diagnosis. He reports that he had experienced similar symptoms with his last flare, which lasted 4 to 5 days, and was treated in urgent care. He is currently taking prednisone to treat his gout tlare. Tom was also diagnosed with stage 3 chronic kidney discase 2 ycars ago. According to the 2020 American College of Rheumatology Guideline for gout management, which of the following treatments is best for Tom?
(A) Start low-dose allopurinol
(B) Start probenecid
(C) Start high-dose allopurinol
(D) Start pegloticase