Nanoparticle Therapy – An Emerging Cancer Treatment
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Let us first understand the anatomy of the rib cage. The rib cage is actually formed not only of bones (ribs and sternum). Cartilages are a very important part of the formation of the rib cage. It is due to cartilage only that our Rib cage is mobile which is a must for respiratory movement, inspiration, and expiration.
So ribs are attached to the sternum (middle bone) via cartilages. So cartilage is having a rib on one side and sternum on the other side. The joint between ribs and cartilage is known as the costochondral joint. While joint between cartilage and sternum is known as a chondrosternal joint.
Many people will have a doubt that is Tietze syndrome an autoimmune disease? Actually, Tietze Syndrome is inflammation and swelling of Upper costochondral joints in the front part of the chest. Three most important factors to consider for the diagnosis of Tietze Syndrome are;
As such, there is no identification of causative factors in many cases. But common causes are;
Tietze Syndrome can appear as an isolated disease or sometimes present as an associated illness to autoimmune diseases like lupus, rheumatoid arthritis, ankylosing spondylitis, etc.
[Also Read: Diet For Ankylosing Spondylitis]
There is no specific test available which can stamp the diagnosis of Tietze Syndrome. Hence diagnosis is mostly clinical, based on history and description by the patient, local examination (pain, swelling, warm, tender area) and ruling out other diseases like heart diseases, lung issues, rib fracture, etc. So doctors usually ask for a chest x-ray and ECG (electrocardiogram). Normal chest x-ray and ECG rule out heart and lung diseases. It is always advised to consult an expert rheumatologist to get better treatment.
After ruling out heart diseases and lung diseases, Tietze Syndrome treatment should be started. First should be an assurance that nothing is serious.
Usually, recovery is seen in 2-3 weeks. In some patients, relapse or recurrence is also seen. Particularly, patients with autoimmune disease history are more likely to show recurrence.
Usually, no deformity or adverse effects are seen. But patients may end up in psychological issues like stress and anxiety because of relapse.
Well, Tietze syndrome is not an autoimmune disease. But many autoimmune diseases like lupus, rheumatoid arthritis, ankylosing spondylitis, etc can not only cause but also cause a relapse of Tietze Syndrome. So autoimmune disease connection with Tietze Syndrome cannot be neglected.
Another point establishing an autoimmune connection with Tietze Syndrome is elevated inflammatory markers like CRP (C Reactive Protein) and ESR (erythrocyte-sedimentation-rate). In the majority of Tietze Syndrome patients, CRP and ESR are elevated which are also elevated in Autoimmune diseases.