Tietze's Syndrome: Causes, Tests, and Treatments
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About this ebook
Are you tired of suffering from Tietze's syndrome? This easy-to-use guide offers advice on controlling your symptoms and making the kinds of lifestyle changes to allow you to live a full and active life again. "A neatly summarized book with easy, sound recommendations for anyone who is suffering or knows someone with similar symptoms." Martha Marquez, M.D.
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Tietze's Syndrome - Stephanie Kenrose
Tietze’s Syndrome: Causes, Tests, and Treatments
Stephanie Kenrose
Smashwords Edition
****
Copyright 2010 Stephanie Kenrose
Smashwords Edition, License Notes
This ebook is licensed for your personal enjoyment only. This ebook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each recipient. If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy. Thank you for respecting the hard work of this author.
Table of Contents
Chapter One: Introduction
Chapter Two: Symptoms
Chapter Three: Causes
Chapter Four: Tests
Chapter Five: Treatments
Slow Cooker Recipes
Breads
Breakfast
Dessert
Lunch
Web Resources
Chapter One: Introduction
In 1992, I had never heard of Tietze’s syndrome. If you'd have asked me what it was, I might have said it had something to do with mosquitoes (Tietze’s syndrome is sometimes confused with the sleeping sickness caused by the tsetse fly and referred to incorrectly as tsetse’s syndrome).
In the spring of 1992, I was taken to the ER with symptoms of a heart attack . I was 26 years old. A crushing feeling enveloped my chest like an elephant was sitting on top of me; the pain was like nothing I had ever experienced. The panic that accompanied the pain was overwhelming--luckily, it wasn’t a heart attack, but I left the ER that evening without knowing the cause of my pain. Months later, I still didn’t have a diagnosis.
There’s nothing wrong with you,
an impatient chest specialist told me after two months of trying to diagnose the excruciating pain in my chest. I’d had tests for heart problems, blood disorders, stomach disorders…all to no avail. You should consider seeing a psychiatrist,
he told me. I took him up on it, briefly, but a year later, I still had the pain (and a prescription for Valium).
The large amounts of ibuprofen I was consuming daily caused acid reflux that burned by esophagus and added more pain to my chest area. I went to a different doctor to ask him for prescription strength Zantac. I was a new patient, so he performed a thorough exam, listening to me as I asked him not to tap my chest. Where does it hurt?
he asked. I pointed to my ribs. Everywhere.
He tapped my costal cartilage gently. Here?
he asked. I nodded. You’ve got Tietze’s Syndrome,
he said.
I’d never heard of it. The doctor explained that he’d only heard of it in passing (he was fresh out of medical school), and that all he knew about it was that it was a rare disorder, characterized by crushing pain when the chest is pressed on. Tietze’s syndrome, he explained, was like costochondritis; only unlike costochondritis, with Tietze's syndrome the rib cartilage swells and the condition can be chronic--sometimes lasting decades.
Tietze's syndrome was named after a German surgeon named Alexander Tietze (1864-1927), who discovered the disease in 1921. The physician studied at Breslau (Wroclaw), obtaining his doctorate in 1887 and eventually practicing at the Allerheiligen-Hospital. He wrote an excellent textbook on emergency surgery which was published in 1927, and he contributed numerous papers on surgical topics. Ninety years after its discovery, the rare disorder named after him has had only a few hundred cases reported in the medical literature worldwide.
Many sources of information will tell you that Tietze's syndrome is the same as costochondritis . On the contrary, the two conditions are different.
Tietze's syndrome is characterized by inflammation and swelling in the costochondral (rib) cartilage, which causes pain that varies from very mild to so severe that it can mimic a heart attack . Costochondritis and Tietze’s syndrome affect the same region of the chest--the cartilage that connects the ribs to the breast bone—but that’s about where the similarity ends.
Tietze’s causes inflammation, tenderness, and swelling. According to the Mayo clinic, swelling is absent with costochondritis . Note that you may not be able to feel the swelling—for example, if the Tietze’s syndrome is affecting the first costal joint, it may be hidden behind your clavicle.
Tietze’s syndrome affects men and women equally, but according to Wright’s Radiology of the Chest and Related Conditions, Tietze’s syndrome usually occurs in the 20-40 year-old age range bracket. On the other hand, costochondritis tends to affect women over the age of 40, although anyone can get it. One case highlighted in the literature tells of a two-year-old boy who had a painful swelling in one of his left ribs that was diagnosed as Tietze’s syndrome: luckily for the boy, the swelling died down after a few weeks.
According to Harrison's Rheumatology, costochondritis affects the third, fourth, or fifth joints down in between the breast bone and ribs (you can feel these joints with your fingers). Tietze's syndrome tends to