Abstract
Attacks of chest pain of noncardiac origin were not infrequent in the patients with gout and often this condition has been diagnosed erroneously as angina pectoris or myocardial infarction. The pain is related to the chest wall and is probably due to involvement of the cartilaginous or bony parts of the ribs or of the costosternal junctions by the deposits of uric acid. The pain has distinct clinical features distinguishing it from cardiac pain. It is not relieved by nitrites while it is alleviated by colchicine. The attacks may be prevented by long term treatment with probenecid. Gout must be considered in the differential diagnosis of chest pain, especially chest pain attributed to coronary disease and Tietze's syndrome.
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