Abstract
Tietze sendromu, her yaş gurubunda görülebilen genelde ikinci veya üçüncü kostasternal bölgede, şişlik, göğüs ağrısı, hassasiyet ve göğüs ön duvarında lokalize ağrı ile karakteristik özelliklere sahip nadir bir inflamatuar hastalıktır. Ayırıcı tanısında birçok göğüs ağrısına neden olan hastalığı kapsamaktadır. Tanı, diğer enflamatuar patolojilerin ve göğüs ağrısı nedenlerinin dışlanması ile konmakla beraber genellikle ek tanı yöntemlerinin kullanılmasını zorunlu kılmaz. Etiyolojisi tam olarak bilinmemekte fakat ağır egzersiz ve minör travmalar düşünülmektedir. Tietze sendromunun tedavisinde anti-inflamatuar ilaçların kullanılması ve yaşam tarzı değişikliklerin uygulanması önerilir. Cerrahi tedavi refrakter olgular için uygulanabilmekle birlikte genellikle gerekli değildir. Bu olgumuzda 1 aydır göğüs ağrısı şikayeti ile başvuran, laboratuvar değerleri normal olan ve kardiyak patolojilerin ekarte edildiği 38 yaşında bayan hastayı bildiriyoruz. Bu vaka gereksiz invaziv testlerden kaçınarak Tietze sendromunun teşhisinde klinik muayenenin önemini vurgulamaktadır.
Keywords
References
- Wise CM, Semble EL, Dalton CB. Musculoskeletal chest wall syndromes in patients with noncardiac chest pain: a study of 100 patients. Arch Phys Med Rehabil. 1992 Feb;73(2):147–9.
- Rokicki W, Rokicki M, Rydel M. What do we know about Tietze’s syndrome? kitp. 2018;15(3):180–2.
- Öztürk Durmaz H, Erdem HR.Tietze Syndrome: A Case Report. YIU Journal of Health Sciences. 2021 Aug;2(2):63–6.
- Aeschlimann A, Kahn MF. Tietze’s syndrome: a critical review. Clin Exp Rheumatol. 1990;8(4):407–12.
- Özısık E, Erturk E, Kosak A, Köse S. The Role of Surgical Treatment in Tietze Syndrome. Respiratory Diseases. 2001;12(3):222-4.
- Fam AG, Smythe HA. Musculoskeletal chest wall pain. CMAJ. 1985 Sep 1;133(5):379–89.
- 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 Jul;98(7):e71–3.
- Do W, Baik J, Kim ES, Lee EA, Yoo B, Kim HK. Atypical Tietze’s Syndrome Misdiagnosed as Atypical Chest Pain: Letter to the Editor. Pain Medicine. 2018 Apr 1;19(4):813–5.
- Gologorsky R, Hornik B, Velotta J. Surgical Management of Medically Refractory Tietze Syndrome. The Annals of Thoracic Surgery. 2017 Dec;104(6):e443–5.
- Senturk E, Sahin E, Serter S. Prolotherapy: An effective therapy for Tietze syndrome. BMR. 2017 Sep 22;30(5):975–8.
Abstract
Tietze syndrome is a rare inflammatory disease that can be seen in all age groups and has characteristic features such as swelling, chest pain, tenderness and pain localized in the anterior chest wall, usually in the second or third costal region. The differential diagnosis includes many diseases that cause chest pain. Although the diagnosis is made by excluding other inflammatory pathologies and causes of chest pain, it usually does not require the use of additional diagnostic methods. Its etiology is not fully known, but heavy exercise and minor traumas are considered. Anti-inflammatory drugs and lifestyle changes are recommended in the treatment of Tietze syndrome. Surgical treatment can be applied for refractory cases, but it is generally not necessary. In this case, we report a 38-year-old female patient who presented with chest pain for 1 month, had normal laboratory values and the patient’s pathologies were excluded. This case underscores the importance of clinical examination in diagnosing Tietze syndrome, avoiding unnecessary invasive tests.
Keywords
References
- Wise CM, Semble EL, Dalton CB. Musculoskeletal chest wall syndromes in patients with noncardiac chest pain: a study of 100 patients. Arch Phys Med Rehabil. 1992 Feb;73(2):147–9.
- Rokicki W, Rokicki M, Rydel M. What do we know about Tietze’s syndrome? kitp. 2018;15(3):180–2.
- Öztürk Durmaz H, Erdem HR.Tietze Syndrome: A Case Report. YIU Journal of Health Sciences. 2021 Aug;2(2):63–6.
- Aeschlimann A, Kahn MF. Tietze’s syndrome: a critical review. Clin Exp Rheumatol. 1990;8(4):407–12.
- Özısık E, Erturk E, Kosak A, Köse S. The Role of Surgical Treatment in Tietze Syndrome. Respiratory Diseases. 2001;12(3):222-4.
- Fam AG, Smythe HA. Musculoskeletal chest wall pain. CMAJ. 1985 Sep 1;133(5):379–89.
- 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 Jul;98(7):e71–3.
- Do W, Baik J, Kim ES, Lee EA, Yoo B, Kim HK. Atypical Tietze’s Syndrome Misdiagnosed as Atypical Chest Pain: Letter to the Editor. Pain Medicine. 2018 Apr 1;19(4):813–5.
- Gologorsky R, Hornik B, Velotta J. Surgical Management of Medically Refractory Tietze Syndrome. The Annals of Thoracic Surgery. 2017 Dec;104(6):e443–5.
- Senturk E, Sahin E, Serter S. Prolotherapy: An effective therapy for Tietze syndrome. BMR. 2017 Sep 22;30(5):975–8.
Details
| Primary Language | English |
|---|---|
| Subjects | Pain |
| Journal Section | Case Report |
| Authors | |
| Publication Date | April 30, 2025 |
| Submission Date | March 25, 2025 |
| Acceptance Date | April 24, 2025 |
| Published in Issue | Year 2025 Volume: 12 Issue: 1 |
