Below is an instruction from Human. Write a response.
    ### Instruction:
    What are the symptoms of Tietze syndrome ?
    ### Response:
    What are the signs and symptoms of Tietze syndrome? The signs and symptoms of Tietze syndrome usually develop in young adulthood (before age 40). The most common symptom is mild to severe chest pain that may extend into the arms and/or shoulders. The onset of pain can be gradual or sudden and may worsen with coughing, sneezing, or deep breathing.
    