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V-sign

MedGen UID:
1379918
•Concept ID:
C4476838
•
Finding
HPO: HP:0025536

Definition

Erythematous, poikilodermatous macules distributed in a V-shaped distribution over the anterior neck and chest. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVV-sign

Professional guidelines

PubMed

Redefining dermatomyositis: a description of new diagnostic criteria that differentiate pure dermatomyositis from overlap myositis with dermatomyositis features.
Troyanov Y, Targoff IN, Payette MP, Raynauld JP, Chartier S, Goulet JR, Bourré-Tessier J, Rich E, Grodzicky T, Fritzler MJ, Joyal F, Koenig M, Senécal JL
Medicine (Baltimore) 2014 Nov;93(24):318-332. doi: 10.1097/MD.0000000000000222. PMID: 25500701Free PMC Article

Recent clinical studies

Etiology

The Vulcan salute sign: a non-sensitive but specific sign for Morton's neuroma on radiographs.
Galley J, Sutter R, Germann C, Pfirrmann CWA
Skeletal Radiol 2022 Mar;51(3):581-586. Epub 2021 Jul 14 doi: 10.1007/s00256-021-03851-3. PMID: 34263343Free PMC Article
Risk factors for cancer-associated myositis: A large-scale multicenter cohort study.
Li Y, Jia X, Sun X, Shi L, Lin F, Gan Y, Zhang X, Gao X, Miao M, Hong D, Li Y, He J
Int J Rheum Dis 2021 Feb;24(2):268-273. Epub 2020 Dec 26 doi: 10.1111/1756-185X.14046. PMID: 33369084
Trichoscopic evaluation of frontal hairline recession in Egyptian female patients.
Said M, El-Sayed SK, Elkhouly NDE
J Cosmet Dermatol 2020 Oct;19(10):2706-2716. Epub 2020 Feb 11 doi: 10.1111/jocd.13324. PMID: 32048427
Contribution of the Fetal Cardiac Axis and V-Sign Angle in First-Trimester Screening for Major Cardiac Defects.
Zheng MM, Tang HR, Zhang Y, Ru T, Li J, Xu BY, Xu Y, Hu YL
J Ultrasound Med 2019 May;38(5):1179-1187. Epub 2018 Sep 12 doi: 10.1002/jum.14796. PMID: 30208223
Use of the V-sign in the diagnosis of bucket-handle meniscal tear of the knee.
Rao N, Patel Y, Opsha O, Chen Q, Owen J, Eisemon E, Fogel J, Beltran J
Skeletal Radiol 2012 Mar;41(3):293-7. Epub 2011 Jun 10 doi: 10.1007/s00256-011-1181-8. PMID: 21656136

Diagnosis

The Vulcan salute sign: a non-sensitive but specific sign for Morton's neuroma on radiographs.
Galley J, Sutter R, Germann C, Pfirrmann CWA
Skeletal Radiol 2022 Mar;51(3):581-586. Epub 2021 Jul 14 doi: 10.1007/s00256-021-03851-3. PMID: 34263343Free PMC Article
The V sign in lateral talar process fractures: an experimental study using a foot and ankle model.
Jentzsch T, Hasler A, Renner N, Peterhans M, Sutter R, Espinosa N, Wirth SH
BMC Musculoskelet Disord 2017 Jul 3;18(1):284. doi: 10.1186/s12891-017-1642-x. PMID: 28673281Free PMC Article
Inverted V sign.
Maroudas EM, Ayoob AR, DiSantis DJ
Abdom Radiol (NY) 2016 May;41(5):1004. doi: 10.1007/s00261-016-0643-9. PMID: 27193799
Use of the V-sign in the diagnosis of bucket-handle meniscal tear of the knee.
Rao N, Patel Y, Opsha O, Chen Q, Owen J, Eisemon E, Fogel J, Beltran J
Skeletal Radiol 2012 Mar;41(3):293-7. Epub 2011 Jun 10 doi: 10.1007/s00256-011-1181-8. PMID: 21656136
Pneumomediastinum: old signs and new signs.
Bejvan SM, Godwin JD
AJR Am J Roentgenol 1996 May;166(5):1041-8. doi: 10.2214/ajr.166.5.8615238. PMID: 8615238

Therapy

Identifying specific myelopathy etiologies in the evaluation of suspected myelitis: A retrospective analysis.
Alkabie S, Casserly CS, Morrow SA, Racosta JM
J Neurol Sci 2023 Jul 15;450:120677. Epub 2023 May 12 doi: 10.1016/j.jns.2023.120677. PMID: 37207546
Neurological and Psychological Characteristics of Young Nitrous Oxide Abusers and Its Underlying Causes During the COVID-19 Lockdown.
Wu G, Wang S, Wang T, Han J, Yu A, Feng C, Wang Y, Liu S
Front Public Health 2022;10:854977. Epub 2022 Jun 2 doi: 10.3389/fpubh.2022.854977. PMID: 35719623Free PMC Article
Neuro-image: nitrous oxide-induced myelopathy due to vitamin B(12 )deficiency.
van den Hoven C, Lambrechts S, Reynders T
Acta Neurol Belg 2022 Feb;122(1):203-205. Epub 2021 Feb 17 doi: 10.1007/s13760-021-01616-2. PMID: 33598882
Naclerio's V sign and continuous diaphragm sign after endoscopy.
Komaru Y, Maeda A
BMJ Case Rep 2018 Sep 21;2018 doi: 10.1136/bcr-2018-226021. PMID: 30244226Free PMC Article
The revised digital transcutaneous PCO2/SpO2 ear sensor is a reliable noninvasive monitoring tool in patients after cardiac surgery.
Roediger R, Beck-Schimmer B, Theusinger OM, Rusch D, Seifert B, Spahn DR, Schmid ER, Baulig W
J Cardiothorac Vasc Anesth 2011 Apr;25(2):243-9. Epub 2010 Sep 20 doi: 10.1053/j.jvca.2010.06.021. PMID: 20851636

Prognosis

Risk factors for cancer-associated myositis: A large-scale multicenter cohort study.
Li Y, Jia X, Sun X, Shi L, Lin F, Gan Y, Zhang X, Gao X, Miao M, Hong D, Li Y, He J
Int J Rheum Dis 2021 Feb;24(2):268-273. Epub 2020 Dec 26 doi: 10.1111/1756-185X.14046. PMID: 33369084
Comprehensive Assessment of Endomyocardial Fibrosis with Cardiac MRI: Morphology, Function, and Tissue Characterization.
de Carvalho FP, Azevedo CF
Radiographics 2020 Mar-Apr;40(2):336-353. Epub 2020 Jan 31 doi: 10.1148/rg.2020190148. PMID: 32004118
Contribution of the Fetal Cardiac Axis and V-Sign Angle in First-Trimester Screening for Major Cardiac Defects.
Zheng MM, Tang HR, Zhang Y, Ru T, Li J, Xu BY, Xu Y, Hu YL
J Ultrasound Med 2019 May;38(5):1179-1187. Epub 2018 Sep 12 doi: 10.1002/jum.14796. PMID: 30208223
The EuroMyositis registry: an international collaborative tool to facilitate myositis research.
Lilleker JB, Vencovsky J, Wang G, Wedderburn LR, Diederichsen LP, Schmidt J, Oakley P, Benveniste O, Danieli MG, Danko K, Thuy NTP, Vazquez-Del Mercado M, Andersson H, De Paepe B, deBleecker JL, Maurer B, McCann LJ, Pipitone N, McHugh N, Betteridge ZE, New P, Cooper RG, Ollier WE, Lamb JA, Krogh NS, Lundberg IE, Chinoy H; all EuroMyositis contributors
Ann Rheum Dis 2018 Jan;77(1):30-39. Epub 2017 Aug 30 doi: 10.1136/annrheumdis-2017-211868. PMID: 28855174Free PMC Article
Use of the V-sign in the diagnosis of bucket-handle meniscal tear of the knee.
Rao N, Patel Y, Opsha O, Chen Q, Owen J, Eisemon E, Fogel J, Beltran J
Skeletal Radiol 2012 Mar;41(3):293-7. Epub 2011 Jun 10 doi: 10.1007/s00256-011-1181-8. PMID: 21656136

Clinical prediction guides

Neurological and Psychological Characteristics of Young Nitrous Oxide Abusers and Its Underlying Causes During the COVID-19 Lockdown.
Wu G, Wang S, Wang T, Han J, Yu A, Feng C, Wang Y, Liu S
Front Public Health 2022;10:854977. Epub 2022 Jun 2 doi: 10.3389/fpubh.2022.854977. PMID: 35719623Free PMC Article
Risk factors for cancer-associated myositis: A large-scale multicenter cohort study.
Li Y, Jia X, Sun X, Shi L, Lin F, Gan Y, Zhang X, Gao X, Miao M, Hong D, Li Y, He J
Int J Rheum Dis 2021 Feb;24(2):268-273. Epub 2020 Dec 26 doi: 10.1111/1756-185X.14046. PMID: 33369084
Comprehensive Assessment of Endomyocardial Fibrosis with Cardiac MRI: Morphology, Function, and Tissue Characterization.
de Carvalho FP, Azevedo CF
Radiographics 2020 Mar-Apr;40(2):336-353. Epub 2020 Jan 31 doi: 10.1148/rg.2020190148. PMID: 32004118
Contribution of the Fetal Cardiac Axis and V-Sign Angle in First-Trimester Screening for Major Cardiac Defects.
Zheng MM, Tang HR, Zhang Y, Ru T, Li J, Xu BY, Xu Y, Hu YL
J Ultrasound Med 2019 May;38(5):1179-1187. Epub 2018 Sep 12 doi: 10.1002/jum.14796. PMID: 30208223
Use of the V-sign in the diagnosis of bucket-handle meniscal tear of the knee.
Rao N, Patel Y, Opsha O, Chen Q, Owen J, Eisemon E, Fogel J, Beltran J
Skeletal Radiol 2012 Mar;41(3):293-7. Epub 2011 Jun 10 doi: 10.1007/s00256-011-1181-8. PMID: 21656136

Recent systematic reviews

Diagnostic Accuracy of Trichoscopy in Trichotillomania: A Systematic Review.
Kaczorowska A, Rudnicka L, Stefanato CM, Waskiel-Burnat A, Warszawik-Hendzel O, Olszewska M, Rakowska A
Acta Derm Venereol 2021 Oct 7;101(10):adv00565. doi: 10.2340/00015555-3859. PMID: 34184065Free PMC Article

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