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A 45-year-old man presents with a chief complaint of acute pain in the great toe consistent with an acute gout attack. He has a history of gout which is under control, and he has not had an acute gout attack for several years. He was diagnosed with diabetes 5 years ago and is currently taking metformin. He was recently diagnosed with hypertension and was placed on a hypertensive drug. He is a non-smoker and does not abuse alcohol. The family history is significant for ischemic heart disease in his father. His blood pressure is 136/84 mm Hg and his pulse is 78/min. The physical examination did not reveal any abnormalities. He uses over-the-counter multivitamin supplements. Which of the following classes of drugs could have resulted in these symptoms? A 45-year-old man presents with a chief complaint of acute pain in the great toe consistent with an acute gout attack. He has a history of gout which is under control, and he has not had an acute gout attack for several years. He was diagnosed with diabetes 5 years ago and is currently taking metformin. He was recently diagnosed with hypertension and was placed on a hypertensive drug.
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