Tietze syndrome

Tietze syndrome refers a benign costochondritis accompanied by hypertrophy of the costal cartilages.

Exact incidence of occurrence is not known. It is seen most commonly between 2nd and 5th decades of life. Female to male ratio is 2:1.

It is characterised as a tender, non-suppurative swelling in the upper costosternal region

Chest wall MRI

MRI features of Tietze's syndrome was characterised according to one study as follows 1

  • enlargement and thickening of cartilage at the site of complaint
  • focal or widespread increased signal intensities of affected cartilage on both TSE T2-weighted and STIR or FAT SAT images
  • bone marrow oedema in the subcondral bone
  • vivid gadolinium uptake in the areas of thickened cartilage, in the subcondral bone marrow and/or in capsule and ligaments

Ga-67 imaging often shows increased accumulation 7.

Named in 1921 by Alexander Tietze (1864-1927), German surgeon.

It is a benign condition. Some authors suggest local steroid injection as possible treatment option 6.

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Article Information

rID: 24439
Section: Pathology
Tag: cases
Synonyms or Alternate Spellings:
  • Tietze's syndrome
  • Tietze's disease
  • Tietze disease

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