Tietze

Tietze 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). Onset of pain may be gradual or sudden and may spread to affect the arms and/or shoulders. While the cause of Tietze syndrome is unknown, it often results from a minor injury or severe coughing. Treatment is focused on relieving the pain and inflammation and may include nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, and/or local anesthetic and steroid injections. In severe cases, surgery may be necessary.

Signs and Symptoms

The primary symptom of Tietze syndrome is pain and tenderness in the chest area, specifically at the junction of the ribs and breastbone. The pain may be sharp or dull and is often exacerbated by physical activity or deep breathing. Swelling in the affected area is also common. In some cases, the pain may radiate to the arms and shoulders.

Causes

The exact cause of Tietze syndrome is unknown. However, it is often associated with a minor injury or severe coughing, which may cause strain in the chest area. It may also occur without any apparent reason.

Diagnosis

Diagnosis of Tietze syndrome is primarily based on the clinical symptoms of chest pain and swelling. Imaging tests such as chest X-rays, CT scans, or MRIs may be used to rule out other conditions that can cause similar symptoms, such as heart disease or lung conditions.

Treatment

Treatment for Tietze syndrome is focused on relieving the pain and inflammation. This may include the use of nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, and/or local anesthetic and steroid injections. In severe cases, surgery may be necessary.

See Also

• Costochondritis
• Chest pain
• Inflammation

References

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