Tietze syndrome

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Tietze Syndrome

Tietze syndrome (pronounced tee-ET-zuh syndrome) is a rare, inflammatory disorder characterized by chest pain and swelling of the cartilage of one or more of the upper ribs (costochondral junction), specifically where the ribs attach to the breastbone (sternum).

Etymology

The condition is named after the German surgeon Alexander Tietze, who first described it in 1921.

Symptoms

The main symptoms of Tietze syndrome are pain and tenderness at the costochondral junction. This can be on one or both sides of the chest, and the pain can vary in intensity. The pain can be sharp, dull, or burning. It can also radiate outwards, affecting the arms and shoulders. The pain is often worsened by physical activity or coughing.

Causes

The exact cause of Tietze syndrome is unknown. However, it is often associated with a history of minor trauma or an upper respiratory tract infection. It can also occur after a surgical procedure that involves the chest wall.

Diagnosis

Diagnosis of Tietze syndrome is primarily based on the characteristic symptoms and physical examination. Imaging tests such as X-ray or MRI may be used to rule out other conditions that can cause similar symptoms, such as costochondritis, heart disease, or lung disease.

Treatment

Treatment for Tietze syndrome primarily involves managing symptoms. This can include the use of nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, and in some cases, local anesthetic injections. In rare cases, surgical intervention may be necessary.

Related Terms

  • Costochondritis: A condition similar to Tietze syndrome, but without the characteristic swelling.
  • Costosternal syndrome: Another term for Tietze syndrome.
  • Chest wall pain: A general term for pain in the chest area, which can be caused by a variety of conditions, including Tietze syndrome.

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