Alphonse Berley, Elien Michelande, Jean-Jacques Walter, Ovil Ricarven
Internal Medicine, University Notre Dame of Haiti, Port-au-Prince, HTI.
Public Health, Montreal University, Montreal, CAN.
Cureus. 2024 May 4;16(5):e59640. doi: 10.7759/cureus.59640. eCollection 2024 May.
Tietze syndrome is a relatively uncommon condition characterized by painful swelling localized in the costo-sternal, sternoclavicular, or costochondral joints. Despite its benign nature, Tietze syndrome can mimic more serious conditions, necessitating thorough evaluation and exclusion of differential diagnoses. Management typically involves non-steroidal anti-inflammatory drugs and corticosteroid therapy, with surgical intervention reserved for refractory cases. This case of a 41-year-old athlete underscores the importance of considering Tietze syndrome in the differential diagnosis of acute chest pain, especially in younger individuals without significant comorbidities. By raising awareness and sharing our experience, we aim to contribute to improved recognition and management of this condition, ultimately enhancing patient care outcomes.
蒂策综合征是一种相对罕见的病症,其特征为局限于肋胸骨、胸锁或肋软骨关节处的疼痛性肿胀。尽管蒂策综合征本质上是良性的,但它可能类似更严重的病症,因此需要进行全面评估并排除鉴别诊断。治疗通常包括使用非甾体类抗炎药和皮质类固醇疗法,手术干预仅用于难治性病例。这位41岁运动员的病例凸显了在急性胸痛的鉴别诊断中考虑蒂策综合征的重要性,尤其是在没有明显合并症的年轻个体中。通过提高认识并分享我们的经验,我们旨在促进对这种病症的更好识别和管理,最终改善患者的护理效果。