Titze Syndrome

The Tietze syndrome was described in 1921 by the German surgeon A. Titze as a pseudotumor of the fin ends, accompanied by painful sensations.
One reason for late diagnosis is that doctors often forget or
Do not know that there is a Tietze syndrome. Symptoms of it are similar to a significant
Number of diseases by symptomatology. Sometimes symptoms are taken for manifestations
Osteochondritis, osteomyelitis, mastopathy, stenocardia, intercostal neuralgia,
Peptic ulcer, gastritis and pleuropneumonia.

There is no single and definitive opinion of the doctors about the causes of the syndrome, however, a large number of patients reveal previously present episodes of infectious diseases, severe physical exertion, severe cough and malnutrition. A few days after the onset of the disease in the costal cartilage, dystrophic disorders develop which are characterized by a change in the location and size of the chondrocytes. The main substance is anastomized, sections of sequestration appear, resulting in metaplasia, which ends with calcification and sclerosing.

Titze syndrome is characterized by the presence of benign reversible edema
Costal cartilage, causing painful sensations. The most common disease is observed in athletes and people engaged in heavy physical work. In most cases, the costal cartilage is affected on one side and has a localization in the left region of the chest. The Tietze syndrome can develop both gradually and acutely. Sometimes swelling is preceded by painful sensations in the joint of the sternum or in the foreleg. The main manifestations of the disease are pulling pain associated with periosteal injuries. As a rule, the pain has a clear localization, but sometimes it can radiate along the front chest wall and neck. Tonic disorders of the muscles of the forehearth and neck are observed in the area of the lesion focus. Painful sensations increase with increased emotional and physical activity. Skin changes in the area of lesion and enlarged lymph nodes are not observed. The anterior rib end has a spindly, dense swelling. In addition to local manifestations of the syndrome, the disease manifests itself in the form of a vegetative-irritative syndrome.

The general condition is not disturbed, but the pain may persist for several weeks in patients who have Tietze syndrome. Treatment consists in taking anti-inflammatory non-steroid drugs. A good effect is provided by local thermal procedures, as well as the use of injections of hydrocortisone and local novocaine blockade. Symptomatic therapy implies a full and balanced diet enriched with vitamins and minerals. Titze's syndrome is well suited to treatment with resorbants. In acute forms of the disease, bed rest is recommended . Limit exercise and physical activity. Effectively balneological treatment in mud resorts.

Titze syndrome develops in very young as well as in elderly patients. Sometimes the disease is observed against the background of postmenopausal osteoporosis. The disease occurs in the form of irregular acute attacks, which can last up to several days. For several months, painful attacks gradually pass on their own, however, individual cases can have a long-term course. Despite the soreness, the syndrome poses no danger to the life and health of the patient. The causes of pain that occur when coughing or sneezing are varied. If their cause is Tietze's syndrome, then there is no cause for concern.