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D'Espine sign
System: Chest & Breathing Signs · All chest & breathing signs
What it is — and how it is elicited
Bronchial (tubular) breath sounds heard over the spine below the level of the third thoracic vertebra in a child.
What a positive finding suggests
Associated with enlarged lymph nodes around the bronchi, classically tuberculous nodes in children.
◈ Behind the name
Pierre D'Espine (1846–1917), Swiss paediatrician.
Related signs — Chest & Breathing Signs
Browse the D section of the A–Z list or return to the Clinical Signs hub.
Please note: This page is an educational reference about clinical examination signs. A clinical sign supports — and never replaces — a full clinical evaluation, examination and appropriate testing. A sign being present does not by itself prove a diagnosis, and an absent sign does not rule one out. If you have symptoms that worry you, see a health professional.