Tan Charlene, Lim Rachel, Yeow Marcus, Fong Jeffrey, Balakrishnan Tharmmambal
Internal Medicine, Singapore General Hospital, Singapore, SGP.
Diagnostic Radiology, Singapore General Hospital, Singapore, SGP.
Cureus. 2022 Jul 31;14(7):e27499. doi: 10.7759/cureus.27499. eCollection 2022 Jul.
Tietze's syndrome is a rare inflammatory disorder characterized by chest well swelling and inflammation of the costal cartilages. We describe a gentleman with repeated presentations to the emergency department (ED) with left-sided chest and sternoclavicular pain on a background of recent asymptomatic coronavirus disease 2019 (COVID-19) infection. He had elevated inflammatory markers and MRI subsequently confirmed the diagnosis of Tietze's syndrome. Anti-inflammatory medications and colchicine eventually led to a complete resolution of symptoms. This case highlights how Tietze's syndrome -- a disorder that is potentially self-limiting, can cause great distress and should be a differential diagnosis of chest pain after excluding life-threatening etiologies related to COVID-19.
蒂策综合征是一种罕见的炎症性疾病，其特征为胸壁肿胀和肋软骨炎症。我们描述了一位男士，他近期无症状感染2019冠状病毒病（COVID-19）后，多次因左侧胸部和胸锁关节疼痛前往急诊科就诊。他的炎症指标升高，随后MRI确诊为蒂策综合征。抗炎药物和秋水仙碱最终使症状完全缓解。该病例凸显了蒂策综合征——一种可能自限性的疾病，如何在排除与COVID-19相关的危及生命病因后，能引发极大痛苦且应作为胸痛的鉴别诊断之一。
