Wimberger sign
Infant with a
maculopapular rash on the buttocks. AP radiographs of the bilateral lower extremities show diffuse, thick, symmetric periosteal reaction bilaterally. There is a suggestion of a metaphyseal notch on the proximal medial right tibial metaphysis (Wimberger corner sign).The diagnosis was syphilis.
Infant with
hepatosplenomegaly, jaundice, and a maculopapular rash. AP radiograph of the knee at presentation (left) shows faint periostitis of the distal femur and proximal tibia and fibula. There is a metaphyseal lucency present along the proximal portion of the medial aspect of the tibial metaphysis (Wimberger corner sign). Repeat radiograph obtained 2 months later while on therapy (right) shows dense periostitis of the bones with resolution of the lesion previously seen on the proximal medial tibial metaphysis.The diagnosis was syphilis.
nicht verwechseln mit: Wimberger ring signThe Wimberger sign, also called Wimberger corner sign, refers to localized bilateral metaphyseal destruction of the medial proximal tibias. It is a pathognomonic sign for congenital syphilis.
It must not be mixed up with Wimberger ring sign seen in scurvy, which is sometimes also confusingly referred to as Wimberger sign.
History and etymology
Both eponymous signs were named for Hans Wimberger (1887-1954) , an Austrian pediatrician. During his lifetime he was mistakenly assumed to be a radiologist on several occasions, including in learned journals, due to his expertise at reading pediatric radiographs. However he had no formal training in radiology .
Several texts and published articles erroneously credit the sign to "Heinrich Wimberger, German radiologist" .
Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu Wimberger Zeichen: