title: Sternocostal joint swelling--clinical Tietze's syndrome. Report of sixteen cases and review of the literature.
abstract: Sixteen patients with painful tender swelling in the region of the sternocostal joint (SCJ) are reported and analysed against the background of a review of 106 previously reported patients with Tietze's syndrome. Seven patients fulfilled all the diagnostic criteria for Tietze's syndrome. The radiographic findings and/or the history of these patients suggested that local strain generated by respiration is a pathogenetic factor. Nine patients had a systemic arthritic disorder, skin disease, or psoriasis in their family. They differed from the 7 patients with local involvement and from those reviewed, by the rather frequent bilateral involvement, a frequent affection of the first SCJ and the manubriosternal joint, and a female predominance. Their SCJ swellings may be viewed as part of a seronegative arthritis.
authors.affiliation: Department of Diagnostic Radiology, Municipal Hospital, Aarhus, Denmark.
authors.forename: A G
authors.initials: AG
authors.lastname: Jurik
authors.forename: H
authors.initials: H
authors.lastname: Graudal
mesh_terms: D001168:Arthritis / Q000150:complications; D001175:Arthrography; D001799:Blood Sedimentation; D004487:Edema / Q000150:complications / Q000000981:diagnostic imaging* / Q000276:immunology / Q000503:physiopathology; D005260:Female; D006680:HLA Antigens / Q000032:analysis / Q000145:classification; D015235:HLA-B Antigens; D006801:Humans; D007592:Joint Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000276:immunology / Q000503:physiopathology; D008297:Male; D010146:Pain; D012871:Skin Diseases / Q000150:complications; D013248:Sternocostal Joints / Q000000981:diagnostic imaging; D013991:Tietze's Syndrome / Q000150:complications / Q000000981:diagnostic imaging / Q000276:immunology / Q000503:physiopathology; D014054:Tomography
chemical_list: D006680:HLA Antigens; D015235:HLA-B Antigens