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GROUP- 7
INTRODUCTION
Onset of pain may be gradual or sudden and may spread to affect the arms
and/or shoulders. Tietze syndrome is considered a benign syndrome and, in
some cases, may resolve itself without treatment.
The second or third ribs are most often affected. In most people, the cartilage of
only one rib is affected. A firm, spindle-shaped swelling occurs in the cartilage of
the affected rib.
An aching, gripping, sharp, dull, or neuralgic pain occurs in this area. Sometimes,
the pain may spread to affect the neck, arms and shoulders. Redness (erythema)
and warmth of the affected area may be present.
The onset of pain may be gradual or sudden, and can vary in intensity. The pain
associated with Tietze syndrome may worsen due to sneezing, coughing, or
strenuous activity or exercise. The pain usually subsides after several weeks or
months, but the swelling may persist.
You might mistake the pain from Tietze syndrome for a heart attack
but there are differences:
Tietze syndrome usually only affects a small area of the chest while a
heart attack covers the whole chest. If you're having a heart attack,
you may also be short of breath, nauseous, and sweating.
Causes
The exact cause is not known (idiopathic). Some researchers have
speculated that multiple microtrauma to the anterior chest wall
may cause the development of Tietze syndrome.
Specific treatment for individuals with Tietze syndrome consists of rest, avoidance of
strenuous activity, the application of heat to the affected area, and pain medications such
as nonsteroidal anti-inflammatory drugs (NSAIDs) or a mild pain reliever (analgesic).
Local corticosteroid or lidocaine injections directly into the affected area may be
beneficial for people who dont respond to pain relievers (refractory cases). Usually the
pain subsides after several weeks or months, but the palpable swellings may persist for
some time.
Resources
The Genetic and Rare Diseases (GARD) Information Center, part of
the National Institutes of Health
The National Institute of Arthritis and Musculoskeletal and Skin
Diseases
The National Organization for Rare Disorders
The Arthritis Foundation
The American Academy of Pediatrics