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Costochondritis is one of many disorders associated with autoimmune diseases. Normally this disorder will go away on its own. When associated with an autoimmune diseases such as PBC, it may linger for years or a lifetime.
Costochondritis is an inflammation of the cartilage that attaches the ribs to the breastbone (costo = rib, chond = cartilage, itis = inflammation).
Costochondritis causes mild to severe pain in the lower rib area or upper breastbone. Some patients fear they are having a heart attack. The most severe pain is usually in the lower rib area between the breast and upper abdomen. The pain may be more noticeable in sitting or reclining positions, and stress is known to aggravate this condition.
Costochondritis may also be caused by trauma, such as bumping the rib cage; as a result of a viral infection; or as part of an inflammatory disease process. Usually the cause is unknown.
Once the diagnosis of costochondritis is made, it usually responds well to a course of a pain-killing, anti-inflammatory medications such as aspirin, ibuprofen, or any of a number of prescription medications. If this condition doesn't respond to simple treatment measures, the patient should undergo more tests. When costochondritis is associated with liver disease, it is more difficult to treat.
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