Pediatric Heart Expert Forum
Reactive arthritis - chest pains
About This Forum:

Questions in this forum are answered by pediatric cardiologists, cardiothoracic surgeons and anesthesiologists from The Children's Hospital of Philadelphia. This forum is for questions and support about pediatric heart problems, symptoms and topics such as heart murmurs, palpitations, fainting, chest pain, congenital heart defects (including management and intervention), fetal cardiology, adult congenital cardiology, arrhythmias and pre-participation athletic screening.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Reactive arthritis - chest pains

Are there cardiac manifestations of rheumatoid arthritis that are not audible on a stethoscope. I've been diagnosed with the condition, have experienced chest pain, and been told it's costochondritis by my GP. However, the affected area does not become more painful when pressure is applied, leading me to believe that this is possibly a misdiagnosis (I acknowledge the fact I'm not a doctor myself, and hope I'm not a hypochondriac, either - I just want to make sure he's got it right!). The condition's continued for three months thus far, and I was hospitalised for two weeks. I've been referred to a second rheumatologist, with a sub-speciality in vasculitis, but they have a long waiting list, and my appointment's in mid-June. Can you help? I'm 15.

Current medication:
Piroxicam,
Omeprazole,
Sulfasalazine,
Codeine,
Paracetamol.

Thanks.
Related Discussions
773637_tn?1327450515
Dear Glen,

Rheumatoid arthritis (RA) is an autoimmune disease in which the body’s immune system attacks itself.  The heart can be involved, however, with inflammation of the valves, inflammation of the sac around the heart (pericarditis), or inflammation of the heart muscle itself.  Without fully evaluating your findings, I cannot say for sure what is happening with your chest pain, and what the cause of it is.  However, pericarditis can cause chest pain, so it would be appropriate to ensure that you don’t have this as the reason your chest hurts.  That said, the most common cause of chest pain in children and teens is chest wall pain.  It’s not necessarily reproducible with pushing on it, it is often sharp and hurts worse when you breathe in, and is not due to the heart in any way.  It is benign and does not cause problems.  Your GP should be able to make tell by the history, examination, and an ECG if this is the cause of your pain.

Reactive arthritis is not associated with cardiac involvement, however.
2 Comments
Blank
Avatar_m_tn
Sorry, I meant "diagnosed with reactive arthritis" - I'm going mad!
Blank
Continue discussion Blank
This Forum's Experts
773637_tn?1327450515
Jeffrey R Boris, M.D.Blank
The Children’s Hospital of Philadelphia
Philadelphia, PA
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank