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Tietze's syndrome in children and infants
M Mukamel1, L Kornreich, G Horev
1Emergency and Day Care, Ambulatory Department, Schneider Children's Medical Center of Israel, Beilinson Campus, Petah Tiqva.
Insights
Tietze's syndrome, a rare chest wall swelling, can occur in infants and children. Recognizing its clinical signs helps avoid unnecessary invasive tests for pediatric chest pain.
Area of Science:
- Pediatric Rheumatology
- Pediatric Thoracic Medicine
Background:
- Tietze's syndrome is typically diagnosed in adults, presenting as localized swelling and tenderness at costochondral junctions.
- Differential diagnosis in children often includes more serious conditions, necessitating careful evaluation.
Observation:
- This study details eight pediatric cases of Tietze's syndrome.
- Four of these cases involved children aged one year or younger.
- Clinical presentation, laboratory results, and imaging were analyzed.
Findings:
- Tietze's syndrome in children shares clinical similarities with adult presentations.
- The condition is benign and identifiable through characteristic clinical and diagnostic findings.
- No invasive procedures were required for diagnosis in these cases.
Implications:
- Early recognition of Tietze's syndrome in pediatric patients can prevent unnecessary investigations.
- This benign condition should be considered in the differential diagnosis of chest wall pain in children.
- Accurate diagnosis avoids patient anxiety and healthcare resource utilization.
Abstract:
Tietze's syndrome, characterized by isolated swelling and tenderness of a costochondral junction, usually occurs in adults. We describe eight cases of Tietze's syndrome in children, four of them aged 1 year or less. The clinical aspects and laboratory and imaging findings should enable the clinician to recognize this benign entity, thereby avoiding invasive diagnostic procedures to rule out other conditions.