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November 1955

TIETZE'S SYNDROME: Report of a Case with Involvement of the Cricoarytenoid Joint

Author Affiliations

West Haven, Conn.

From the Medical and Otolaryngology Services of the Veterans Administration Hospital.

AMA Arch Intern Med. 1955;96(5):697-699. doi:10.1001/archinte.1955.00250160139012

THE SYNDROME originally described by Tietze, in 19211 consisted of pain and swelling without suppuration of the costochondral cartilages, the second costochondral cartilage being most frequently involved. The majority of the cases were in young adults, but subsequent reports suggest that there is no real predilection for a specific age group. Sexes appear to be involved equally. The disease may begin as an upper respiratory tract infection with cough, pyrexia, and pleuritic pain. As the chest swelling appears, the patient may notice pain in this region aggravated by cough. The symptoms may last from several days to several weeks and then subside gradually without sequelae. The etiology is unknown, and the various theories as to the cause are well reviewed elsewhere,2 but it has been variously associated with infectious, neoplastic, traumatic, and emotional conditions. There appears to be no specific treatment.

The American literature contains very few references

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