The Clavicular Sign in Congenital Syphilis

a depressed bridge of the nose; the majority had keratitis; the rest had associated syphilitic osteomyelitis and chronic rhinitis. The author (1942) reported four cases of congenital syphilis. Higoumenakis (1938) has drawn attention to the importance of the enlargement of the clavicle (usually the right) as a diagnostic sign of late congenital syphilis, has reported the presence of this sign in 20 cases of congenital syphilis, and has emphasized that this clavicular sign is superior in its diagnostic value to any other sign of congenital syphilis because of the regularity of its occurrence and the ease with which it may be detected. Yang (1940) reported 6 cases of late congenital syphilis in which the clavicular sign was present, with considerable enlargement of the medial extremity of the right clavicle, revealed by inspection, palpation and roentgenogram; he has also found bilateral clavicular enlargement