Higoumenakis sign (clavicle)

Dr Pamela Mayhew et al.

Higoumenakis sign is the unilateral enlargement of the sternal end of the clavicle in patients with late congenital syphilis.

Treponema pallidum becomes readily localized in the lymphatic spaces and may remain in the connective tissues without manifestation in childhood. Through mechanical movement of the preferred hand of the patient, the treponemata are reactivated and their toxins produce chronic periostitis which results in hyperostosis.

Described in 1927 by Gregorios "George" Higoumenakis (1985-1983), Greek dermatologist.

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Article Information

rID: 43904
Section: Signs
Synonyms or Alternate Spellings:

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