Tietze’s syndrome in children and infants☆,☆☆
Section snippets
Methods
The study population included eight children referred to our clinic over an 18-month period because of a mass in the anterior chest wall. Patients who had rheumatic diseases were excluded. The medical charts and radiographs of all patients were reviewed retrospectively.
Results
The study population comprised six boys and two girls; their ages ranged from 10 months to 12 years (Table) , and five were aged 1 year or less. No systemic signs or fever were detected at the time of examination or preceding the appearance of the parasternal mass. The mass was located in the lower chest wall area in five patients, in the middle part of the chest wall area in two patients, and in the upper part (second costochondral junction) in one patient. Tenderness was noted in six
Discussion
Tietze’s syndrome, rarely described in children and infants, 2, 3 was documented in eight cases in our clinic within an 18-month period. It is possible that many cases go undiagnosed because of the mild symptoms, such as in patients 6 and 7 of our study.
We believe clinical awareness of this syndrome and the possibility that it can occur even in very young infants will minimize performance of invasive diagnostic procedures, such as needle aspiration or biopsies. 4
Childhood Tietze’s syndrome is
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Cited by (24)
Self limiting sternal tumors of childhood in a 7 months old infant
2021, Anales de PediatriaTietze Syndrome
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2012, Principles and Practice of Pediatric Infectious Diseases, Fourth EditionChest Pain: A Prospective Study
2011, Berman's Pediatric Decision Making: Expert ConsultChest pain
2011, Berman's Pediatric Decision Making
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Reprint requests: M. Mukamel, MD, Emergency and Day Care, Ambulatory Department, Schneider Children’s Medical Center of Israel, Beilinson Campus, Petah Tiqva 49202, Israel.
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