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It is inflammation of the cartilage that links the ribs with the sternum, especially the second and third ribs, causing severe, stabbing chest pain that increases when touching the area. It sometimes spreads to the back and arms. It is most common in people in their 20s to 40s but it is still rare. The cause is unknown, although it may be associated with catarrh and a bad cough. It is diagnosed by the symptoms and is treated with painkillers. It is not a serious disease that requires a visit to an emergency department, except if there is pain that does not change with movements or when touching the area or if there is difficulty breathing. In this case, more serious causes of chest pain must be ruled out.
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- Bösner S, Becker A, Hani MA, et al. Chest wall syndrome in primary care patients with chest pain: presentation, associated features and diagnosis. Fam Pract 2010; 27:363.
Dr. Sara Vitoria
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