Little-Known Cause of Chest Pain: Tietze Syndrome Case Report

Tietze syndrome is a rare inflammatory disease that can be seen in all age groups and has characteristic features such as swelling, chest pain, tenderness and pain localized in the anterior chest wall, usually in the second or third costal region. The differential diagnosis includes many diseases that cause chest pain. Although the diagnosis is made by excluding other inflammatory pathologies and causes of chest pain, it usually does not require the use of additional diagnostic methods. Its etiology is not fully known, but heavy exercise and minor traumas are considered. Anti-inflammatory drugs and lifestyle changes are recommended in the treatment of Tietze syndrome. Surgical treatment can be applied for refractory cases, but it is generally not necessary. In this case, we report a 38-year-old female patient who presented with chest pain for 1 month, had normal laboratory values and the patient’s pathologies were excluded. This case underscores the importance of clinical examination in diagnosing Tietze syndrome, avoiding unnecessary invasive tests.