Precordial catch syndrome

Precordial catch syndrome (PCS), also known as Texidor's twinge, is a benign condition characterized by brief episodes of sharp, localized pain in the chest. These episodes are often associated with inspiration or certain movements, and while they can be alarming, they are typically harmless and resolve on their own.

Pathophysiology

The precise cause of precordial catch syndrome remains unknown, but it is generally believed to be of musculoskeletal origin. The pain is thought to arise from the nerves that run between the ribs, which may become irritated or compressed, causing brief episodes of pain.

Clinical Presentation

Individuals with PCS experience sudden, sharp, stabbing chest pain typically localized on the left side of the chest below the nipple. The pain can be exacerbated by deep breathing, but is often relieved by a strong, deep breath or by changing body position. The episodes are usually brief, lasting from a few seconds to a few minutes.

Epidemiology

PCS primarily affects children and adolescents, but it can occur at any age. Both males and females are equally affected, and the condition seems to have no particular geographic, ethnic, or socioeconomic predilection.

Diagnosis

The diagnosis of PCS is typically made based on a detailed patient history and physical examination. As the condition is benign and self-limiting, no specific diagnostic tests are needed. However, it is essential to rule out other potential causes of chest pain, particularly those that could be serious or life-threatening, such as cardiac conditions.

Management

Because PCS is benign and self-limiting, treatment is often not required. Education and reassurance about the harmless nature of the condition are typically the only interventions needed. In some cases, nonsteroidal anti-inflammatory drugs (NSAIDs) may be used to manage pain, although their use is rarely necessary.

References

Precordial catch syndrome Resources
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