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Case Reports

Int J Pain 2017; 8(1): 46-49

Published online December 31, 2017

Copyright © The Korean Association for the Study of Pain.

Osteoarthritis Combined with Variant Angina: Misdiagnosed as Refractory Angina

Keun Suk Park1, Ji Youn Shin1, Hyung Gon Lee1, Ho-Chun Song2, Jeong Il Choi1

1Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, 2Department of Nuclear Medicine, Chonnam National University Medical School, Gwangju, Korea

Correspondence to:Jeong Il Choi

Abstract

A 69-year-old male patient, who has suffered from variant angina for 6 years, presented with persistent chest pain despite maximal pharmacological treatment. The chest pain was continuous and aggravated intermittently. He denied history of dyspnea on exertion or chest pain during exercise. Physical examination on chest was grossly nonspecific. To exclude non-cardiac causes of chest pain, SPECT/CT was performed and active arthritis of sternal angle was demonstrated. We successfully treated the arthritis with intra-articular injection of steroid with improvement of continuous pain.

Keywordsrefractory angina, SPECT/CT, osteoarthritis, manubriosternal joint.

The Korean Association for the Study of Pain

Vol.14 No.2
December 2023

pISSN 2233-4793
eISSN 2233-4807

Frequency: Semi-Annual

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