Tietze Sendromu: Bir Olgu Sunumu

Year 2021, Volume: 2 Issue: 2, 63 - 66, 25.08.2021

Havva Öztürk Durmaz Hatice Rana Erdem

https://doi.org/10.51261/yiu.2021.00032

Abstract

Tietze sendromu TS , genellikle kostosternal, kostokondral ve sternoklaviküler eklemlerde hassasiyet, ağrı ve non-pürülanşişlik ile karakterize nadir görülen bir inflamatuvarartropatidir. Sıklıkla kostosternal eklemleri tutar ve sternoklaviküler eklem tutulumu nadirdir. Bu olgu sunumunda yaklaşık 2 yıldır göğüs ön duvarı sağ üst bölümünde ağrı ve şişlik şikayeti olan 72 yaş kadın hastayı sunuyoruz. Yapılan fizik muayenede sağ sternoklaviküler eklemde hassasiyet ve yaklaşık 2x2 cm’lik orta sertlikte şişlik saptandı. Şişlik olan bölgeye yapılan ultrasonik görüntülemede sağ sternoklaviküler eklem bölgesinde ekojenite artışı ve ödem saptandı. Laboratuvar bulguları normaldi. Hastaya TS tanısı kondu ve kortikosteroid ve lokal anestezik karışımından lokal enjeksiyon yapıldı. Hastanın şikayetleri infiltrasyon sonrası belirgin şekilde azaldı. Bu olgu sunumunda sternoklaviküler eklem tutumlu ve lokal enjeksiyon ile tedavi ettiğimiz TS olgusunu sunuyoruz.

Keywords

Tietze sendromu , sternoklaviküler eklem , kostokondri

Tietze’s Syndrome: A Case Report

Abstract

Tietze syndrome TS is a rare inflammatory arthropathy characterized by tenderness, pain, and non-purulent swelling of the costosternal, costochondral and sternoclavicular joints. It often involves the costosternal joints and sternoclavicular jointinvolvement is rare. In this case report, we present a 72-year-old female patient suffering from pain and swelling in the right upper chest wall fo rabout 2 years. Physical examination revealed tenderness in the right sternoclavicular joint and an approximately 2x2 cm moderate swelling. Ultrasonic imaging of the swelling area revealed increased echogenicity and edema in the right sternoclavicular joint area. Laboratory findings were normal. The patient was diagnosed with TS and a local injection of a corticosteroid and local anesthetic mixture was administered. The patient’s complaints decreased significantly after the infiltration. In this case report, we present a TS case with sternoclavicular joint involvement that we treated with local injection.

Keywords

Tietze’s syndrome , sternoclavicularjoint , costochondritis

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