D Espina Symptom (J. N. A. D Espine, 1846-1930, French Pediatrician)

"D Espina sign" is a medical term that refers to a specific symptom of pulmonary tuberculosis. D-Espina symptom is one of the methods for diagnosing tuberculosis in children.

At the beginning of the 20th century, the French pediatrician Joseph Nicolas Arcangelo DeLuise D'Espine (JNA D'Espine) developed this method in 1912. He noticed an increase in the bronchophone in the area of ​​​​the projection of the spinous processes of the cervical vertebrae in children with pulmonary tuberculosis, especially under the age of 12 years. Later, doctors began to use it as an effective way to diagnose tuberculosis. This method is still used today to help pediatricians diagnose tuberculosis in young children.

J. N. D. Espin, a famous French pediatrician, was the first to describe the symptom of “increased bronchophonic noise over the spinous process of VI-II (at the age of eight) or XIII (at an older age) of the thoracic vertebrae.” Bronchophonic noises are aggravated by standing (a symptom of blood stagnation) or by holding your breath. This syndrome can also occur in other diseases of children. The main reasons for increased bronchophonic noise may be residual effects after inflammatory diseases of the respiratory tract, such as laryngitis, tracheitis, bronchitis.