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Acute gout presents as an acutely inflamed joint.J Pediatr.

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One trial only involved children, from 24 months to 74 months old.Tsianakas A, Ehrchen JM, Presser D, Fischer T, Kruse-Loesler B, Luger TA, et al.

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4 to 2 mg/kg/day OR 4 to 60 mg/m2/day OR 5 to 60 mg orally once a day or in divided doses 2 to 4 times a day Maintenance dose: Adjust or maintain initial dose until a will prednisone help gout response is obtained; then, gradually in small decrements at appropriate intervals decrease to the lowest dose that maintains an adequate clinical response Exogenous corticosteroids suppress adrenocorticoid activity the least when given at the time of maximal activity; consider time of maximal adrenal cortex activity 2 AM to 8 AM when dosing.

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