Dry tuberculous pleurisy is usually caused by the spread of tuberculosis to the pleura, most often in the posterior part of the lung apices, and the main symptom is chest pain. Tuberculous pleurisy is a common respiratory disease that occurs in the pleural cavity as a result of infection by Mycobacterium tuberculosis. Tuberculous dry pleurisy is caused by the spread of tuberculosis to the pleura and occurs most often in the posterior part of the lung apices and, to a lesser extent, in the pleura of the lower chest. Tuberculous dry pleurisy starts quickly, with symptoms varying in severity, often with chest pain, chills, mild to moderate fever, and a dry cough. Clinically, the main symptom of dry tuberculous pleurisy is chest pain. Chest pain is caused by friction between the wall and dirty pleura and usually occurs in areas such as the axillary region on the lateral side of the chest. The pain is sharp or pins and needles, and is worse with deep breathing or coughing. Dry tuberculous pleurisy requires active medical attention and appropriate anti-tuberculous treatment under the supervision of a physician.