Case this 14yearold female competitive swimmer presented for treatment of chronic anterior chest pain of almost two. Fancy name for costochodritis or inflamation of the sternum rib joints. Costochondritis is a relatively benign and usually selflimited condition though symptom resolution can persist for up to three months. Chronic costochondritis in an adolescent competitive swimmer.
Painful nonsuppurative swelling of costochondral cartilages tietzes syndrome. Tietze syndrome is a benign inflammation of one or more of the costal cartilages. Tietzes syndrome can present at any age but is most common in those under the age of 40 years. It was first described in 1921 by the german surgeon alexander tietze 18641927. Tietze s syndrome is a rheumatic condition which is relatively unknown. Tietzes syndrome definition of tietzes syndrome by the free. The hearing loss in affected individuals is caused by abnormalities of the inner ear sensorineural hearing loss and is present from birth. Tietz syndrome genetic and rare diseases information. Jan 25, 2017 tietze s syndrome can present at any age but is most common in those under the age of 40 years. Specifically, people with tietze syndrome have swelling of the cartilage that joins the upper ribs to the breastbone. Tietze s syndrome persistent inflammation of the cartilages between the ribs and the breastbone causing pain and tenderness in the front of the chest wall, made worse by movement. Chronic costochondritis in an adolescent competitive. Aug 20, 2018 costochondritis is a relatively benign and usually selflimited condition though symptom resolution can persist for up to three months.
Inflammation of rib and costochondral cartilage, chest pain, and swelling tietze only are symptoms and signs. Tietze syndrome is an inflammatory condition characterized by chest pain and swelling of the cartilage around the ribs. Costochondritis is a self limiting condition defined as painful chronic inflammation of the costochondral junctions of ribs or chondrosternal joints of the anterior chest wall. Tietze s syndrome is defined as nonpurulent, mildly selflimiting arthropathy, characterized by tenderness, pain and edema 7080%, involving articulations. This said condition was first identified and described by alexander tietze, a german surgeon in the year 1921. Iii douleur thoracique laterale celleci peut etre en rapport avec. Tietzes syndrome definition of tietzes syndrome by the. It is caused by a mutation in the microphthalmiaassociated transcription factor mitf gene. Tietz syndrome is caused by mutations in the mitf gene, located on human chromosome 3p14. Il sagit dune complication qui na jamais ete repertoriee a ce jour. It is a clinical diagnosis and does not require specific diagnostic testing in the absence of concomitant cardiopulmonary symptoms or risk factors. It is a chronic inflammation of the cartilage in the chest. Patients are often evaluated initially in the emergency department ed or in their primary care physicians office. Although often described as such, it is not a costochondritis 9.
Selections from 50 cases of the rib syndrome are presented, some of which illustrate the interrelationships of the numerous acute types of chest wall conditions as one entity. But any chest pain that seems to get worse or associated with sweating or left arm pain should be evaluated promptly. Costochondritis is more common over the age of 40 years. Tietzes syndrome chondritis, costal costal chondritis chondritides, costal costal chondritides syndrome, tietzes tietze syndrome. This clinically individual disease unit is often confused with other painful conditions within the thoracic skeletal structures such as costochondritis. Tietzes syndrome is a rheumatic condition which is relatively unknown. Tietzes syndrome is not a serious condition but is accompanied by a nasty pain. Des moines iowa rheumatologist doctors physician directory read about costochondritis and tietze syndrome symptoms, causes, diagnosis, and treatment. Tietze syndrome symptoms, causes, treatment, pictures. Tietz syndrome genetic and rare diseases information center.
The cartilage between the sternum and ribs becomes inflammed sometimes causing pain similar to a heart attack. Tietze s syndrome is not a serious condition but is accompanied by a nasty pain. The full text of this article is available in pdf format. Tietze syndrome is condition that involves inflammation of the chest area or simply the cartilage that is attached to the breastbone.
Inflammation of the cartilage of the rib cage, causing pain in the chest similar to angina pectoris. Tietze syndrome is a benign condition characterized by a selflimiting inflammation of the costal cartilages often with hypertrophy. Generally any good antiinflammatory medication can help relieve it. Nov 19, 2014 tietz syndrome is a rare condition characterized by hearing loss, fair skin, and lightcolored hair. Cest une maladie benigne qui disparait en quelques semaines ou quelques mois. In 70% of those with tietze s syndrome, it is unilateral and only one joint is affected. Tietz syndrome, also called tietz albinismdeafness syndrome or albinism and deafness of tietz, is an autosomal dominant congenital disorder characterized by deafness and leucism. Tietzes disease definition of tietzes disease by medical. Tietz syndrome was first described in 1963 by walter tietz 19272003 a german physician working in california. Tietze syndrome genetic and rare diseases information. Costochondritis is a poorly understood condition that.
It is suggested that the numerous chestwall syndromes involving painful costal cartilage be identified by the term rib syndrome, to indicate a single entity or process. Tietze syndrome is different from tietz syndrome, a condition marked by loss of hearing, fair skin, and light hair. The syndrome is characterized by the presence of swelling. Chattanooga, tennessee maurice introduction a cutely fi painful costal cartilage has frequentl. There may be a tender lump at the site of the pain. Tietz syndrome is a rare condition characterized by hearing loss, fair skin, and lightcolored hair. A search of the literature revealed that the torso sustains very few swimming injuries. Tietzes syndrome synonyms, tietzes syndrome pronunciation, tietzes syndrome translation, english dictionary definition of tietzes syndrome. Both conditions occur in men and women, and in adults and children. Tietze syndrome is differentiated from the less severe forms of costochondriris by swelling of the. Costochondritis is a selflimiting condition defined as painful chronic inflammation of the costochondral junctions of ribs or chondrosternal joints of the anterior chest wall it is a clinical diagnosis and does not require specific diagnostic testing in the absence of concomitant cardiopulmonary symptoms or risk.
906 443 432 1166 596 172 29 1294 883 1101 201 1121 743 65 1597 1016 1307 1016 1274 33 851 1568 1139 526 1019 1551 38 1526 1470 480 73 1019 910 1225 638 1307 933 950 59 1005