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BOF 159
Gout In old people, all are true, except;
1-Should never be considered a primary one but secondary to chronic diuretic therapy or chronic renal failure
2-in contrasts to primary gout, secondary gout in elderly usually presents as painful tophi rather than acute attacks
3-there is an increased risk of allopurinol toxicity and hence should be started as a small dose
4-acute attacks in elderly are better treated with joint aspiration and intraarticular injection of steroids
5-acute attacks can be safely treated with colchicine

 

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