Costochondritis and Tietze Syndrome (cont.)

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What are symptoms of costochondritis, and what is Tietze's syndrome?

Costochondritis is distinguished from Tietze's syndrome, a condition also involving the same area of the front of the chest, by the presence of swelling. Costochondritis is not associated with swelling, as opposed to Tietze's syndrome, where swelling is characteristic. Tietze's syndrome is an inflammation of the costochondral cartilages of the upper front of the chest that involves swelling of the joint.

While both costochondritis and Tietze's syndrome feature localized pain and tenderness in the front of the chest, Tietze's syndrome also causes swelling over the ribs and cartilage near the breastbone (sternum). Redness, tenderness, and warmth can also be present, but a localized swelling is the distinguishing finding. The pain is variable, often sharp, can be confused with heart pain, and can last from hours to weeks. It can cause difficulty with sleeping and even rolling over in bed is sometimes painful. Blood testing (sedimentation rate or C-reactive protein test) can show signs of inflammation in patients with Tietze's syndrome, whereas patients with costochondritis alone typically have normal tests for inflammation.

How are costochondritis and Tietze's syndrome diagnosed?

Costochondritis and Tietze's syndrome are diagnosed based on the typical history of pain localized to the cartilage adjacent to the breastbone as well as the examination findings of tenderness. Swelling is also noted in patients with Tietze's syndrome.

Medically Reviewed by a Doctor on 9/13/2012

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