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Costochondritis : ウィキペディア英語版 | Costochondritis
Costochondritis, also known as chest wall pain, costosternal syndrome, or costosternal chondrodynia〔 is an acute and often temporary inflammation of the costal cartilage, the structure that connects each rib to the sternum at the costosternal joint. The condition is a common cause of chest pain. Though costochondritis often resolves on its own, it can be a recurring condition that has little or no signs of onset. Costochondritis symptoms can be similar to the chest pain associated with a heart attack.〔 Unexplained chest pain is considered a medical emergency until life-threatening cardiac issues can be ruled out.〔〔 Severe cases of costal cartilage inflammation that also involve painful swelling are sometimes referred to as Tietze's syndrome, a term sometimes used interchangeably with costochondritis. However, some physicians view costochondritis and Tietze's syndrome as separate disease states due to the absence of costal cartilage swelling in costochondritis.〔 Treatment options are quite limited and usually involve a combination of rest, analgesics, or anti-inflammatory medications.〔 Cases with persistent discomfort may be managed with cortisone injections〔〔 or surgery may be indicated if the condition is severe. Individuals with costochondritis are typically instructed to avoid strenuous physical activity to prevent the onset of an attack. ==Signs and symptoms== Pain or tenderness to palpation usually occurs on the sides of the sternum, affects multiple ribs, and is often worsened with coughing, deep breathing, or physical activity.〔 On physical examination, a physician inspects and feels the patient for swollen or tender areas, and can often produce the pain of costochondritis by moving the patient's rib cage or arms.〔〔〔 A factor that may aid in the differentiation of costochondritis from Tietze syndrome is the location of the pain on the sternum. Costochondritis typically affects the third, fourth, and fifth costosternal joints in contrast to Tietze's syndrome, which usually affects the second or third costosternal joint.〔 Pain from costochondritis typically resolves within one year.
抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)』 ■ウィキペディアで「Costochondritis」の詳細全文を読む
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