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a pattern of symptoms indicative of some disease
a complex of concurrent things; "every word has a syndrome of meanings"

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(疾患の徴候となる一群の)症徴候,症候群 / (事件・社会的状態などのパターンを示す)徴候形態

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/07/17 19:07:52」(JST)

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Tietze syndrome is a benign inflammation of one or more of the costal cartilages. It was first described in 1921 by the German surgeon Alexander Tietze (1864–1927).^[1]^[2]

Though thought to be the same conditions, Tietze syndrome is not the same as costochondritis.^[3] Tietze syndrome is differentiated from costochondritis by swelling of the costal cartilages, which does not appear in costochondritis. Like costochondritis, it was at one time thought to be associated with, or caused by, a viral infection acquired during surgery. This is now known not to be the case, as most sufferers have not had recent surgery.

Signs and symptoms

The main presentation of the syndrome is significant, acute pain in the chest, along with tenderness and some swelling of the cartilages affected, which is commonly palpable on examination. Perceived pain is often exacerbated with respiration.^[4] Although many times it can be extremely painful, to the point of being debilitating, Tietze's Syndrome is considered to be a benign condition that generally resolves in 12 weeks. However, it can often be a chronic condition. The pain can be identical to a heart attack and can cause hyper ventilating, anxiety attacks, passing out, panic attacks and temporary numbness/paralysis.

Many cases of heart attack victims have been re-considered and improperly diagnosed, due to the identical nature of the symptoms. In females, it is often misdiagnosed as mastalgia. Costochondritis symptoms are similar to Tietze's, the prime difference being that the pain radiates to the arms and shoulders in the latter.

Cause

While the true causes of Tietze's Syndrome are not well understood, it often results from a physical strain or minor injury, such as repeated coughing, sneezing, vomiting, or impacts to the chest. It has even been known to occur after hearty bouts of laughter. It can occur by over exerting or by an injury in the chest and breast.

Psychological stress can exacerbate Tietze's Syndrome, but there is no evidence to suggest that it is a direct cause.

Patients who have had radiation therapy to the chest/breast will often experience this syndrome which can occur shortly after therapy or years later. It is found more often in teens than adults.

Differential diagnosis

Although patients will often mistake the pain of Tietze's Syndrome for a myocardial infarction (heart attack), the syndrome does not progress to cause harm to any organs.

It is important to rule out a heart attack, as the symptoms can be similar. After assessment, providers often reassure patients that their symptoms are not associated with a heart attack, although they may need to treat the pain, which in some cases can be severe enough to cause significant but temporary disability to the patient.

References

^ synd/2640 at Who Named It?
^ Tietze A (1921). "Über eine eigenartige Häufung von Fällen mit Dystrophie der Rippenknorpel". Berliner klinische Wochenschrift 58: 829–831.
^ "Tietze's Syndrome".
^ Bhat, Sriram (2010). Tietze's disease. New Delhi, India: SRB's Manual of Surgery. p. 554.

External links

Tietze's Syndrome Info site
Overview at About.com
NetDoctor
Overview at Mayo Clinic
Costochondritis and Tietze Syndrome
Costochondritis at WebMD
Clinical presentation and chiropractic treatment of Tietze syndrome at National University of Health Sciences
Tietze’s Syndrome in the emergency department: A rare etiology of atraumatic chest pain at Scientific Research

UpToDate Contents

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1. 成人における筋骨格系の胸痛の主な原因 major causes of musculoskeletal chest pain in adults
2. 筋骨格系の胸痛の治療 treatment of musculoskeletal chest pain
3. 小児および青年における非外傷性胸痛の原因 causes of atraumatic chest pain in children and adolescents
4. 成人における全身性エリテマトーデスの肺症状 pulmonary manifestations of systemic lupus erythematosus in adults
5. 筋骨格系の胸痛の臨床的評価 clinical evaluation of musculoskeletal chest pain

English Journal

[Primary suppurative costochondritis--one of our successfully treated cases].

Agocs L, Levay B, Feher C, Vadasz P.SourceOrszagos Koranyi TBC es Pulmonologiai Intezet, Mellkassebeszeti Osztaly, Budapest. agocs@koranyi.hu
Magyar sebeszet.Magy Seb.2011 Apr;64(2):94-6.
Secondary chest wall infections after previous surgical procedures are well known but the primary form of this is a relatively rare entity. We present a case of a 34-year-old man who suffered from primary suppurative costochondritis diagnosed by ultrasound and chest CT scan. The patient underwent a
PMID 21504860

Non-Hodgkin's lymphoma at the medial clavicular head mimicking Tietze Syndrome.

Jeon IH, Jeong WJ, Yi JH, Kim HJ, Park IH.SourceDepartment of Orthopedic Surgery, Asan Medical Center, 86 Asnabyeongwon-gil, Songpa-gu, Seoul, 138-736, Korea.
Rheumatology international.Rheumatol Int.2010 Dec 8. [Epub ahead of print]
We present a case of Non-Hodgkin's lymphoma involving medial clavicular head, which was initially diagnosed as Tietze syndrome. Non-Hodgkin's lymphoma arising from medial clavicular head is extremely rare, and CT, MRI findings have not been reported.
PMID 21140267

Japanese Journal

画像上骨腫瘍との鑑別が困難であった骨関節炎症性疾患 (第22回日本臨床整形外科学会学術集会)

杉原進介,中田英二,相原忠彦
日本臨床整形外科学会雑誌 35(3), 49-54, 2010-12
NAID 40018711440

Stellate ganglion block therapy for a patient with Tietze's syndrome

TAMAKAWA SUSUMU,TSUJIMOTO JUNKO,IHARADA AKEMI,OGAWA HIDEMICHI
Journal of anesthesia 11(3), 225-227, 1997-08-20
NAID 10011549467

Related Pictures

★リンクテーブル★

リンク元	「ティーツェ症候群」
関連記事	「syndrome」

「ティーツェ症候群」

Tietze syndrome
	Sternocostal and interchondral articulations. Anterior view. (Costal cartilages visible on diagram.)
Classification and external resources
ICD-10	M94.0
ICD-9-CM	733.6
DiseasesDB	13112
Patient UK	Tietze syndrome
MeSH	D013991

　　[★]

英: Tietze's syndrome, Tietze syndrome
同: Tietze症候群
関: ティーツェ病

「syndrome」

　　[★]

n.

症候群

[1] synd/2640 at Who Named It?

[2] Tietze A (1921). "Über eine eigenartige Häufung von Fällen mit Dystrophie der Rippenknorpel". Berliner klinische Wochenschrift 58: 829–831.

[National_Health_Service-3] "Tietze's Syndrome".

[srb-4] Bhat, Sriram (2010). Tietze's disease. New Delhi, India: SRB's Manual of Surgery. p. 554.

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案内

Tietze syndrome