Alexander Tietze

Alexander Tietze (1864-1927) was a German surgeon.

Eponymously remembered for his description of Tietze syndrome, a painful, benign, nonsuppurative swelling of the costochondral or the sternoclavicular junction.

Tietze’s best known work was a highly regarded textbook on emergency surgery published in 1927 



Biography
  • Born on February 6, 1864 in Liebenau, Neumark
  • 1887 – MD from University of Breslau (University of Wrocław)
  • 1888-1895 Surgical assistant under Jan Mikulicz-Radecki (1850-1905)
  • 1896 – Gained habilitation, principle surgeon at Allerheiligen-Hospital
  • Died on March 19, 1927 in Breslau

Medical Eponyms
Tietze syndrome (1921)

Tietze’s syndrome, a painful, benign, nonsuppurative swelling of the costochondral or the sternoclavicular junction. Idiopathic benign inflammation of one or more of the costal cartilages

Augenblicklich befinden sich in meiner Privatbehandlung drei Damen im Alter von 28, 42, und 50 Jahren, welche alle drei ein fast genau übereinstimmendes Krankheitsbild darbieten… Bei allen drei Damen hat sich im Laufe von einigen Monaten eine schmerzhafte Anschwellung der Gegend der oberen Rippenknorpel entwickelt, bei allen dreien auf der linken Brustseite.

Wir haben natürlich Röntgenbilder gemacht. Hier lässt sich ganz einwandfrei feststellen, dass der Knorpel der 1. Rippe gefasert, unregelmässig gestaltet, und anscheinend durch Kalkeinlagerungen verdichtet ist.

(Es) wurde eine Probeexzision vorgenommen. Prof. Hauser berichtet: histologische Untersuchung ergab Knorpelgewebe, dessen unregelmässige Anordnung für Tumorbildung spricht; für Malignität keine Anhaltspunkte.

In letzter Zeit sehr abgemagert, Ernährung in den Kriegsjahren der allgemeinen Lebenhaltung entsprechend. In letzter Zeit könne sie schlecht atmen, “es sei ihr als ob sie Asthma hätte, sie müsse immer so tief Luft holen.”

Ich stelle mir die Sache so vor, dass es sich um Ernährungsstörungen im Knorpel handelt, die zu Zerfaserungen und Kalkeinlagerungen führen und von reaktiven Schwellungen der Nachbarschaft begleitet sind.

Tietze A, 1921

Currently there are three women under my private care aged 28, 42, and 50, all of which present a near identical clinical picture. All three women have developed a painful swelling over the area of the upper costal cartilages on the left hand side, over the course of several months… 

Naturally we took Röntgen pictures. Here one may easily note, that the cartilage of the 1st rib is stranded, irregular, and apparently thickened by calcium deposits

An excision biopsy was taken. Prof. Hanser reports: the histological examination demonstrates cartilaginous tissue, in irregular arrangement suggesting neoplasm, but without signs of malignancy, and showing patchy areas of calcium deposit and dissolution into fibres.

In recent time very cachectic- her nutrition during the years of war corresponding to the general living conditions. Recently she could breathe so badly, it was “as if she had Asthma, such deep breaths she had to take.”

I imagine the thing as such, that there are nutritional disturbances in the cartilage, which lead to stranding and calcifications, and are accompanied by reactive swellings in the neighbouring region

Tietze A, 1921


Major Publications

References

Biography

Eponymous terms


Cite this article as: Thomas Morey and Mike Cadogan, "Alexander Tietze," In: LITFL - Life in the FastLane, Accessed on September 28, 2022, https://litfl.com/alexander-tietze/.

eponym

the person behind the name

Emergency medicine RMO at Sir Charles Gairdner Hospital with a keen interest in cardiorespiratory medicine, intensive care and anaesthetics. MBBS, GKT School of medicine. BSc in Biomedical engineering and material science, Barts & The London.

Associate Professor Curtin Medical School, Curtin University. Emergency physician MA (Oxon) MBChB (Edin) FACEM FFSEM Sir Charles Gairdner Hospital.  Passion for rugby; medical history; medical education; and asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | Eponyms | Books | Twitter |

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.