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Costochondritis is a common condition that is responsible for approximately 13–36% of acute chest pain-related concerns from adults depending on the setting, with 14–39% for adolescents. [8] It is most often seen in individuals who are older than 40 years of age and occurs more often in women than in men.
Costochondritis is a common cause of chest pain, consisting of up to 30% of chest pain complaints in emergency departments. The pain is typically diffused with the upper costochondral or sternocostal junctions most frequently involved, unlike slipping rib syndrome, which involves the lower rib cage.
Relapsing polychondritis is a systemic disease characterized by repeated episodes of inflammation and in some cases deterioration of cartilage.The disease can be life-threatening if the respiratory tract, heart valves, or blood vessels are affected.
In costochondritis and Tietze syndrome, inflammation of the costal cartilage occurs. [4] This is a common cause of chest pain. [5] Severe trauma may lead to fracture of the costal cartilage. [6] Such injuries often go unnoticed during x-ray scans, but can be diagnosed with CT scans. [6]
Costochondritis is considered a more common condition and is not associated with any swelling to the affected joints, which is the defining distinction between the two. [ 2 ] [ 5 ] Tietze syndrome commonly affects the 2nd or 3rd rib and typically occurs among a younger age group, [ 2 ] while costochondritis affects the 2nd to 5th ribs and has ...
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Initial treatment often includes the medications aspirin and nitroglycerin. [1] [4] The response to treatment does not usually indicate whether the pain is heart-related. [1] When the cause is unclear, the person may be referred for further evaluation. [3] Chest pain represents about 5% of presenting problems to the emergency room. [3]
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