Martino G, Cariati S, Elmore U, Pascarella G, Corbelli G C, Hekmatdousttabrizi A, Carlomagno R
Cattedra di Chirurgia Geriatrica I, Università degli Studi La Sapienza, Roma.
G Chir. 1994 Mar;15(3):119-23.
A case of Tietze's syndrome in a 62-year-old man and a critical up-to-date review of the literature are reported. Although the etiology of the disease is unknown, it has been suggested that recurrent microtrauma of the anterior chest wall may be implied in the development of characteristic degenerative changes involving single or multiple upper costochondral junction. The syndrome described by Tietze has been more commonly found in older people than previously reported and it seems to be no sex or side prevalence. Because of the benign nature of this disease and its excellent prognosis, the treatment is usually symptomatic. The accumulated data stress the importance of a thorough clinical investigation and the need to exclude severe and lifethreatening conditions in the elderly.
报告了一例62岁男性患蒂策综合征的病例以及对文献的最新批判性综述。尽管该疾病的病因尚不清楚，但有人认为前胸壁反复的微创伤可能与涉及单个或多个上位肋软骨关节的特征性退行性改变的发生有关。蒂策所描述的综合征在老年人中比以前报道的更为常见，似乎没有性别或左右侧倾向。由于该疾病的良性性质及其良好的预后，治疗通常是对症治疗。积累的数据强调了全面临床调查的重要性以及排除老年人严重和危及生命情况的必要性。
