Higoumenakis sign

Hi·gou·me·nak·is sign

sternoclavicular swelling in late congenital syphilis.
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Clinical manifestations of late congenital syphilis include perioral fissures (rhagades), saddle nose deformity, frontal bossing, Hutchinson's triad (peg-shaped, notched, widely spaced permanent upper central incisors; interstitial keratitis; and the eighth cranial nerve deafness), multicusped first molars (mulberry molars), mental retardation, perforation of the hard palate, prognathism, painless effusion of knees (Clutton joints), thickening of sternoclavicular joint (Higoumenakis sign), scaphoid scapula, and anterior bowing of shins (saber shins) [5, 7, 9, 12].