Tietze sendromu

Year 2020, , 835 - 837, 01.09.2020

İsmail Ertuğrul Gedik , Timuçin Alar

https://doi.org/10.28982/josam.729803

Abstract

Tietze sendromu ilk olarak 1921 yılında Prof. Alexander TIETZE tarafından tanımlanmıştır. Tietze sendromu ikinci veya üçüncü kostosternal kartilajda süpüratif olmayan, şişlik, hassasiyet, ağrı ve doku ödemi olarak tanımlanır. Tietze sendromunun ayırıcı tanısı birçok farklı hastalığı kapsamaktadır. Tietze sendromu tanısı esas olarak kliniktir olup genellikle ek tanı yöntemlerinin kullanılmasını zorunlu kılmaz. Tietze sendromunun tedavisi ataklar sırasında anti-inflamatuar ilaç kullanımı ve yaşam tarzı değişikliklerin uygulanması içerir. Cerrahi tedavi refrakter olgular için uygulanabilmekle birlikte genellikle gerekli değildir. Tietze sendromu iyi huylu yapısı nedeniyle birinci basamak hekimlik uygulamalarında kolayca teşhis ve tedavi edilebilir.

Keywords

Tietze Sendromu, ayırıcı tanı, tedavi, yaşam tarzı değişiklkleri

Tietze syndrome

Abstract

Tietze syndrome, first described in 1921 by Prof. Alexander TIETZE, is characterized with tender nonsuppurative swelling, pain, and tissue edema in the second or third costosternal cartilage. Differential diagnosis of Tietze syndrome includes diverse diseases, and its diagnosis relies on clinical examination, not the use of additional diagnostic techniques. The treatment of Tietze syndrome includes the use of anti-inflammatory medication and implementation of lifestyle modifications during the attacks. Surgical treatment is reserved for refractory cases and often is not necessary. Tietze syndrome can easily be diagnosed and treated in primary care medicine practice due to its benign nature.

Keywords

Tietze syndrome, differential diagnosis, treatment, lifestyle modifications

References

• 1. Tietze A. Űber eine eigenartige Häufung von Fällenmit Dystrophieder Rippenknorpel. Berliner Klinische Wochenschrift. 1921;58:829-31.
• 2. Hoorweg BB, Willemsen RT, Cleef LE, Boogaerts T, Buntinx F, Glatz JF, et al. Frequency of chest pain in primary care, diagnostic tests performed and final diagnoses. Heart. 2017;103:1727-32. doi: 10.1136/heartjnl-2016-310905.
• 3. Rokicki W, Rokicki M, Rydel M. What do we know about Tietze’s syndrome? Kardiochirurgia i Torakochirurgia Polska. 2018;15:180-2.
• 4. Kaplan T, Gunal N, Gulbahar G, Kocer B, Han S, Eryazgan MA, et al. Painful Chest Wall Swellings: Tietze Syndrome or Chest Wall Tumor? Thorac Cardiovasc Surg. 2016;64:239-44. doi: 10.1055/s-0035-1545261.
• 5. Ayloo A, Cvengros T, Marella S. Evaluation and treatment of musculoskeletal chest pain. Prim Care. 2013;40:863-87, viii. doi: 10.1016/j.pop.2013.08.007.
• 6. Shah AA, D'Amico TA. Primary chest wall tumors. J Am Coll Surg. 2010;210:360-6. doi: 10.1016/j.jamcollsurg.2009.11.012.
• 7. McConaghy JR, Oza RS. Outpatient diagnosis of acute chest pain in adults. Am Fam Physician. 2013;87:177-82.
• 8. Rascoe PA, Reznik SI, Smythe WR. Chondrosarcoma of the thorax. Sarcoma. 2011;2011:342879. doi: 10.1155/2011/342879.
• 9. Dhua A, Chaudhuri AD, Kundu S, Tapadar SR, Bhuniya S, Ghosh B, et al. Assessment of spontaneous pneumothorax in adults in a tertiary care hospital. Lung India. 2015;32:132-6. doi: 10.4103/0970-2113.152622.
• 10. Cho JY, Park D. Ultrasound-Guided Corticosteroid Injection in a Patient With Tietze Syndrome Combined With Costochondral Joint Swelling. Am J Phys Med Rehabil. 2019;98:e71-3. doi: 10.1097/PHM.0000000000001072.
• 11. Wise CM. Major causes of musculoskeletal chest pain in adults. 2019. https://www.uptodate.com/contents/major-causes-of-musculoskeletal-chest-pain-in-adults.
• 12. Clauw DJ. Fibromyalgia: a clinical review. JAMA. 2014;311:1547-55. doi: 10.1001/jama.2014.3266.
• 13. Almansa C, Wang B, Achem SR. Noncardiac chest pain and fibromyalgia. Med Clin North Am. 2010;94:275-89. doi: 10.1016/j.mcna.2010.01.002.
• 14. Clarrett DM, Hachem C. Gastroesophageal Reflux Disease (GERD). Mo Med. 2018;115:214-8.
• 15. Bergeron EJ, Meguid RA, Mitchell JD. Chronic Infections of the Chest Wall. Thorac Surg Clin. 2017;27:87-97. doi: 10.1016/j.thorsurg.2017.01.002.
• 16. Schipper P, Tieu BH. Acute Chest Wall Infections: Surgical Site Infections, Necrotizing Soft Tissue Infections, and Sternoclavicular Joint Infection. Thorac Surg Clin. 2017;27:73–86. doi: 10.1016/j.thorsurg.2017.01.001.
• 17. Karabudak O, Nalnant S, Ulusoy RE, Dogan B, Harmanmyeri Y. Generalized nonspecific postular lesions in Tietze’s syndrome. J Clin Rheumatol 2007;13:300-30.
• 18. Gräni C, Senn O, Bischof M, Cippà PE, Hauffe T, Zimmerli L, et al. Diagnostic performance of reproducible chest wall tenderness to rule out acute coronary syndrome in acute chest pain: a prospective diagnostic study. BMJ Open. 2015;5(1):e007442. doi: 10.1136/bmjopen-2014-007442.
• 19. Sawada K, Ihoriya H, Yamada T, Yumoto T, Tsukahara K, Osako T, et al. A patient presenting painful chest wall swelling: Tietze syndrome. World J Emerg Med. 2019;10:122-4. doi: 10.5847/wjem.j.1920-8642.2019.02.011.
• 20. Phillips K, Schur PH. Management of isolated musculoskeletal chest pain. 2020. https://www.uptodate.com/contents/management-of-isolated-musculoskeletal-chest-pain.
• 21. Gologorsky R, Hornik B, Velotta J. Surgical Management of Medically Refractory Tietze Syndrome. Ann Thorac Surg. 2017;104:e443-e445. doi: 10.1016/j.athoracsur.2017.07.035.
• 22. Wee JH, Park MH, Oh S, Jin HR. Complications associated with autologous rib cartilage use in rhinoplasty: a meta-analysis. JAMA Facial Plast Surg. 2015;17:49-55. doi: 10.1001/jamafacial.2014.914.