Sign of Hertoghe

Sign of Hertoghe
Other namesQueen Anne's sign
Anne of Denmark mourning the death of her son Henry in 1612
CausesHypothyroidism, atopic dermatitis
Named afterEugene Ludovic Christian Hertoghe

The sign of Hertoghe or Queen Anne's sign is a type of madarosis, more specifically a thinning or loss of the outer third of the eyebrows, and may appear in severe hypothyroidism or atopic dermatitis.[1][2][3] It was also observed in lepromatous leprosy, secondary syphilis,[4][5] hypoparathyroidism,[6] poisoning with either lead or thallium, lupus, or normal aging.[7]

  1. ^ Ständer, Sonja (2021-03-25). "Atopic Dermatitis". New England Journal of Medicine. 384 (12): 1136–1143. doi:10.1056/NEJMra2023911. PMID 33761208. S2CID 232355341.
  2. ^ Cite error: The named reference Schatz1922 was invoked but never defined (see the help page).
  3. ^ Cite error: The named reference AmMed1914 was invoked but never defined (see the help page).
  4. ^ Parrino, Daniela; Di Bella, Stefano (2016-03-29). "Hertoghe sign: an hallmark of lepromatous leprosy". QJM: Monthly Journal of the Association of Physicians. 109 (7): 497. doi:10.1093/qjmed/hcw046. ISSN 1460-2393. PMID 27026695.
  5. ^ Sachdeva, Silonie; Prasher, Pawan (Jan–Feb 2008). "Madarosis: A dermatological marker". Indian Journal of Dermatology, Venereology and Leprology. 74 (1): 74–76. doi:10.4103/0378-6323.38426. hdl:1807/48055. PMID 18187839.
  6. ^ Kobylianskii, Jane; Gold, Wayne L. (2022-02-14). "Queen Anne sign" (PDF). Canadian Medical Association Journal. 194 (6): E219. doi:10.1503/cmaj.211051. ISSN 1488-2329. PMC 8900800. PMID 35165135. Retrieved 2025-04-03.
  7. ^ Tekiner, Halil; Yale, Eileen S.; Yale, Steven H. (2021-01-01). "Eponymous signs in toxicology and poisoning in the nineteenth and early twentieth centuries". Toxicology Reports. 8: 1583–1591. Bibcode:2021ToxR....8.1583T. doi:10.1016/j.toxrep.2021.08.003. ISSN 2214-7500. PMC 8414049. PMID 34504778.