Pleurodynia Differential Diagnoses

Updated: Dec 08, 2020
  • Author: Irina Petrache, MD; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
  • Print

Diagnostic Considerations

Symptoms can easily be mistaken for acute coronary syndrome in adults. Lower back pain can mimic acute purulent spondylitis and discitis. [2] Children are more likely to have involvement of the upper abdominal wall; presentation in infants may mimic intussusception, whereas older children and adolescents may present with suspected appendicitis or perforated peptic ulcer. [12] Bruehl et al reported a case of pleurodynia in an adolescent who had been previously misdiagnosed with costochondritis and acute anxiety. [13]

Other conditions to consider in the diagnosis of pleurodynia include bronchiolitis obliterans organizing pneumonia, drug-induced myalgias, intercostal neuralgia, tumors of the pleural space, soft tissue sarcoma, viral or idiopathic pleurisy, postthoracotomy pain syndrome, and sickle cell crisis.

Differential Diagnoses