31st January 2024

A 35-year-old lady presents with difficult-to-manage gout with visible deformity of the hands, which she hides by wearing long sleeves and gloves.

A 35-year-old lady presents with difficult-to-manage gout with visible deformity of the hands, which she hides by wearing long sleeves and gloves. She has drastically changed her lifestyle- she has tried to maintain her BMI at 20; she is teetotal, pure vegetarian but is lactose intolerant, so avoids dairy products. She has heard of a medication called Febuxostat but wants to know how it works so that she can decide whether it is the right agent for her. What is the mechanism of action of Febuxostat? 

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