<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article article-type="other" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Our Dermatol Online</journal-id>
<journal-title>Our Dermatol Online</journal-title>
<issn pub-type="epub">2081-9390</issn>
<publisher>
<publisher-name>Our Dermatology Online</publisher-name>
<publisher-loc>Poland</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">OURD-8-114</article-id>
<article-id pub-id-type="doi">10.7241/ourd.20171.34</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Historical Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Dermatology eponyms &#x2013; sign &#x2013; Lexicon(R): Part 1</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Brzezi&#x0144;ski</surname>
<given-names>Piotr</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="corresp" rid="cor1"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Senanayake</surname>
<given-names>Manouri P.</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Karunaratne</surname>
<given-names>Irantha</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chiriac</surname>
<given-names>Anca</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>1</label><italic>Department of Cosmetology, Institute of Biology and Environmental Protection, Pomeranian Academy, Slupsk, Poland</italic></aff>
<aff id="aff2"><label>2</label><italic>Department of Pediatrics, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo 008, Sri Lanka</italic></aff>
<aff id="aff3"><label>3</label><italic>Department of Dermatology, Nicolina Medical Center, Iasi, Romania</italic></aff>
<author-notes>
<corresp id="cor1">
<bold>Corresponding author:</bold> Piotr Brzezinski, MD, PhD., E-mail: <email xlink:href="brzezoo77@yahoo.com">brzezoo77@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<year>2017</year>
</pub-date>
<volume>8</volume>
<issue>1</issue>
<fpage>114</fpage>
<lpage>120</lpage>
<history>
<date date-type="received"><day>25</day><month>03</month><year>2016</year></date>
<date date-type="accepted"><day>09</day><month>09</month><year>2016</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x000a9; Our Dermatol Online 1</copyright-statement>
<copyright-year>2017</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p>
</license>
</permissions>
<abstract>
<p>Eponyms are used almost daily in the clinical practice of dermatology. And yet, information about the person behind the eponyms is difficult to find. Indeed, who is&#x003F; What is this person&#x2019;s nationality&#x003F; Is this person alive or dead&#x003F; How can one find the paper in which this person first described the disease&#x003F; Eponyms are used to describe not only disease, but also clinical signs, surgical procedures, staining techniques, pharmacological formulations, and even pieces of equipment. In this article we present the symptoms starting with (R) and other. The symptoms and their synonyms, and those who have described this symptom or phenomenon.</p>
</abstract>
<kwd-group>
<kwd>Eponyms</kwd>
<kwd>Skin diseases</kwd>
<kwd>Sign</kwd>
<kwd>Phenomenon</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="sec1-1">
<title/>
<sec id="sec2-1">
<title>Rabbit Fever Sign</title>
<p>Tularemia infection [<xref ref-type="bibr" rid="ref1">1</xref>].</p>
</sec>
<sec id="sec2-2">
<title>Raccoon Sign</title>
<p><list list-type="order">
<list-item>
<p>The periorbital bruising associated with anterior basilar skull fracture or fracture of the nose and neuroblastoma. Sometimes associated with the reservoir phenomenon of cerebrospinal fluid in the sinus cavity [<xref ref-type="bibr" rid="ref2">2</xref>]. Also known as &#x201C;panda eyes&#x201D;.</p>
</list-item>
<list-item>
<p>The most common cutaneous manifestation of neonatal lupus erythematosus is erythematous, slightly scaly eruption on the face and periorbital skin (raccoon sign/owl-eye/eye mask).</p>
</list-item>
<list-item>
<p>Periorbital hemorrhage due to laxity of blood vessels seen after proctoscopic examination (postproctoscopic periorbital Purpura) in patients having systemic amyloidosis is also called as Raccoon eyes/sign/panda sign.</p>
</list-item>
</list>
</p>
</sec>
<sec id="sec2-3">
<title>Rag-sorters&#x2019;s Sign</title>
<p><list list-type="order">
<list-item>
<p>Malignant pustule in rag-sorters [<xref ref-type="bibr" rid="ref3">3</xref>].</p>
</list-item>
<list-item>
<p>A febrile disease with cough and headache, seen in rag-sorters, and due probably to a bacillus.</p>
</list-item>
</list>
</p>
</sec>
<sec id="sec2-4">
<title>Rain Rot Sign</title>
<p>Pustular desquamative dermatitis, caused by the zoonotic fungal Dermatophilus congolensis. Found in horses, cattle, sheep, and other mammals wordwide [<xref ref-type="bibr" rid="ref4">4</xref>]. Also called Rain Scald sign and Dew Poisonning sign.</p>
</sec>
<sec id="sec2-5">
<title>Rain Sclad Sign</title>
<p>Also called Rain Rot sign.</p>
</sec>
<sec id="sec2-6">
<title>Rash-extinction Sign</title>
<p>Schultz-Charlton reaction phenomenon [<xref ref-type="bibr" rid="ref5">5</xref>]. The specific blanching of a scarlatinal rash at the site of intracutaneous injection of scarlatina antiserum.</p>
<p>In 1918, Schultz and Charlton1 first reported that the intracutaneous injection of from 0.5 to 1 cc. of normal or scarlet fever convalescent serum would blanch the rash of scarlet fever at the site of injection. They also showed that the blanching substance was present in serum taken after the fourteenth day of scarlet fever, but that serum taken earlier in the disease did not have blanching power. Plain horse serum or diphtheria antitoxin failed to blanch the rash. Schultz and Charlton also made injections of a dilute solution of epinephrine hydrochloride intracutaneously, and found that the rash blanched within a few minutes. This blanching lasted five or six hours. In contrast, the reaction produced by scarlet fever convalescent serum appeared only after five or six hours and lasted several days. Schultz and Charlton expressed the belief that human serum contained some vasoconstricting factor which counteracted the vasodilating effect.</p>
</sec>
<sec id="sec2-7">
<title>Rasin&#x2019;s Sign</title>
<p>The pigmentation, usually brownish, occurring on the lid margins in many cases of hyperparathyroidism [<xref ref-type="bibr" rid="ref6">6</xref>]. Also known as Jellinek&#x2018;s sign.</p>
</sec>
<sec id="sec2-8">
<title>Stefan Jellinek</title>
<p>Austrian physician, 1871-1968 (<xref ref-type="fig" rid="F1">Fig. 1</xref>). He studied medicine at the University of Vienna from 1892 to 1898. From December 1898 to April 1899 Senator&#x2019;s assistant at the clinic in Berlin. In the years 1900-1903 the aspirant in the third clinic in Vienna, from 1903 sekundariusz in the Department of Dermatology. In December 1908 his habilitation in internal medicine. Since 1910 assistant at the Institute Elektropatologicznym. May 14, 1929 elektropatologii was an associate professor at the University of Vienna. In 1938, because of his Jewish origin had lost his job, then emigrated to the UK. He practiced at Queen&#x2019;s College [<xref ref-type="bibr" rid="ref6">6</xref>].</p>
<fig id="F1">
<label>Figure 1</label>
<caption>
<p>Stefan Jellinek.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="OURD-8-114-g001.tif"/>
</fig>
</sec>
<sec id="sec2-9">
<title>Raspberry Sign</title>
<p>Contagious raspberry like nodules beginning with minute red spots, then after seven days form yellow papules, then the raspberry crust, sometimes with edema of the limbs and eyelids. Also called by the Carib word yaws and the French framboise or frambesia. Believed to be same as button-scuvry of Ireland [<xref ref-type="bibr" rid="ref7">7</xref>].</p>
</sec>
<sec id="sec2-10">
<title>Raynaud&#x2019;s Sign</title>
<p>Raynaud phenomenon, a vasospastic disorder, is characterized by sensitivity to cold temperatures, triggering the release of vasoconstrictors, including catecholamines, endothelin-1, or 5-hydroxytryptamine (<xref ref-type="fig" rid="F2">Fig. 2</xref>). Clinically, vasospasm or vasoconstriction may be associated with a change in the color of the fingers or toes, starting with one or several digits and spreading symmetrically to all fingers or toes (A cold pale condition of the fingers and toes alternating with heat and redness). Attacks usually end with a sudden reflow of blood to the area, creating a reactive hyperemia. Criteria for primary Raynaud phenomenon (RP) are symmetrical attacks without necrosis, ulceration, or gangrene and no evidence of secondary causes. Typical onset of primary RP occurs in the early to middle teens as well as sometimes after the fourth decade of life. Symptoms may be mild. In contrast, criteria for secondary RP are associated with severe episodic attacks, usually asymmetrical or with ulcerations. Patients also may have other manifestations of connective tissue disease (eg, arthritis, systemic sclerosis). An early sign of asymmetric gangrene or Raynaud&#x2019;s disease. Also known as acro-asphyxia or Dead-finger sign and sphaceloderma [<xref ref-type="bibr" rid="ref8">8</xref>,<xref ref-type="bibr" rid="ref9">9</xref>].</p>
<fig id="F2">
<label>Figure 2</label>
<caption>
<p>Raynaud sign.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="OURD-8-114-g002.tif"/>
</fig>
</sec>
<sec id="sec2-11">
<title>Auguste Gabriel Maurice Raynaud</title>
<p>French physician, (1834-1881) (<xref ref-type="fig" rid="F3">Fig. 3</xref>). He discovered Raynaud&#x2019;s Disease, a rare vasospastic disorder which contracts blood vessels in extremities and is the &#x201C;R&#x201D; in the CREST syndrome acronym, in the late 19<sup>th</sup> century.</p>
<fig id="F3">
<label>Figure 3</label>
<caption>
<p>Auguste Gabriel Maurice Raynaud.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="OURD-8-114-g003.tif"/>
</fig>
<p>Maurice Raynaud was the son of a university professor. He commenced his medical studies at the University of Paris with the help of his uncle, the well known Paris physician Ange-Gabriel-Maxime Vernois (1809&#x2013;1877), and obtained his medical doctorate in 1862. He thus became one of the select few who have achieved eponymous fame with their doctoral dissertation, in his case: De l&#x2019;asphyxie locale et de la gangr&#x00E8;ne sym&#x00E9;trique des extr&#x00E9;mit&#x00E9;s.</p>
<p>Raynaud never received a senior position at any of the Paris hospitals, but became M&#x00E9;decine des h&#x00F4;pitaux (received hospital privileges) in 1865. At various times, he was attached to the hospitals of H&#x00F4;tel Dieu (1866), Sainte P&#x00E9;rine (1868), Saint-Antoine (1872), Lariboisi&#x00E8;re (1872) et La Charit&#x00E9; (1880), among others. In 1866 he became an agr&#x00E9;g&#x00E9; with the works Sur les hyperh&#x00E9;mies non phlegmasiques and De la revulsion, which established him as a professor of medical pathology.</p>
<p>He was made an officer of the L&#x00E9;gion d&#x2019;honneur in 1871 and elected to the Acad&#x00E9;mie de M&#x00E9;decine in 1879, and lectured with great success at the university as well as the Lariboisi&#x00E8;re and Charit&#x00E9; hospitals.</p>
<p>Although Raynaud always wanted to hold the chair of medical history at the University of Paris, he died on 29 June 1881, in his prime, before achieving that goal, shortly before the international medical congress in London that year. At the London congress, Raynaud&#x2019;s paper, &#x201C;Scepticism in Medicine, Past and Present&#x201D;, was read by one of his colleagues.</p>
<p>He was also a busy writer. His book Sur la salive d&#x2019;un enfant mort de la rage was the result of research done with Louis Pasteur and Odilon Marc Lannelongue.</p>
</sec>
<sec id="sec2-12">
<title>Recklinghausen&#x2019;s Sign</title>
<p>Multiple neurofibromata (<xref ref-type="fig" rid="F4">Fig. 4</xref>) [<xref ref-type="bibr" rid="ref10">10</xref>].</p>
<fig id="F4">
<label>Figure 4</label>
<caption>
<p>Recklinghausen&#x2019;s sign.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="OURD-8-114-g004.tif"/>
</fig>
</sec>
<sec id="sec2-13">
<title>Friedrich Daniel Von Recklinghausen</title>
<p>German pathologist, 1833-1910 (<xref ref-type="fig" rid="F5">Fig. 5</xref>). He began his medical studies in Bonn in 1852, continued them in W&#x00FC;rzburg, and completed his doctorate in Berlin in 1855. Subsequently, he studied pathology with Rudolf Virchow, after which he traveled to Vienna, Rome, and Paris for further study. He returned to Berlin in 1858 and served as an assistant in Virchow&#x2019;s Institute for Pathology until 1864. In K&#x00F6;nigsberg, he was briefly appointed as Professor Ordinarius&#x2014;without having gone through the usual academic steps of Docent and Professor Extraordinary&#x2014;until six months later, when he went to W&#x00FC;rzburg until 1872. He was then appointed Professor at the new university in Strassburg. He became Rector of the university in 1877, and remained there until his death in 1910.</p>
<fig id="F5">
<label>Figure 5</label>
<caption>
<p>Friedrich Daniel von Recklinghausen.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="OURD-8-114-g005.tif"/>
</fig>
<p>Recklinghausen was well known for many important contributions, including early descriptions of hemochromatosis, bone lesions in hyperparathyroidism, and, of course, a number of eponymous conditions: von Recklinghausen&#x2019;s Disease, von Recklinghausen&#x2019;s tumor (adenoleiomyofibroma on wall of the fallopian tube or posterior uterine wall), and von Recklinghausen&#x2019;s canals (lymphatic canaliculi). He developed a silver nitrate stain to allow visualization of cell structures.</p>
<p>While von Recklinghausen was not the first to recognize spina bifida (the first description was apparently in 1641 by Fulpius, who coined the term), he was one of the first to provide such a complete description. We reproduce here a brief abridgement of his classic article, &#x201C;Untersuchungen &#x00FC;ber die Spina bifida,&#x201D; published in 1886 [<xref ref-type="bibr" rid="ref11">11</xref>,<xref ref-type="bibr" rid="ref12">12</xref>].</p>
</sec>
<sec id="sec2-14">
<title>Relapsing Sign</title>
<p>A zoonotic louseborne Borrelia disease, causing a relapsing fever every three to five days. Also calleed relapsing fever disease [<xref ref-type="bibr" rid="ref13">13</xref>].</p>
</sec>
<sec id="sec2-15">
<title>Remak&#x2019;s Sign</title>
<p>A double sensation caused by pricking with a needle. A sign of tabes dorsalis [<xref ref-type="bibr" rid="ref14">14</xref>].</p>
</sec>
<sec id="sec2-16">
<title>Ernst Julius Remak</title>
<p>German neurologist, 1849-1911 (<xref ref-type="fig" rid="F6">Fig. 6</xref>). He was the son of famed neurologist Robert Remak.</p>
<p>He received his education at the Universities of Breslau, Berlin, W&#x00FC;rzburg, Strasbourg and Heidelberg, and obtained the degree of M.D. in 1870. Afterwards he took part in the Franco-Prussian War of 1870-71. After serving as assistant in the department for nervous diseases at the Charit&#x00E9; Hospital, Berlin from 1873 to 1875, he established himself as a neuropathologist in the German capital, where he became privat-docent in 1877, and professor in 1893. With Edward Flatau, he published an important work on neuritis and polyneuritis.</p>
<fig id="F6">
<label>Figure 6</label>
<caption>
<p>Ernst Julius Remak.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="OURD-8-114-g006.tif"/>
</fig>
<p>His name is associated with the eponymous &#x201C;Remak reflex&#x201D;, which is plantar flexion of the first three toes and sometimes the foot with extension of the knee, induced by stroking of the upper anterior surface of the thigh. This reflex takes place when the conducting paths in the spinal cord are interrupted [<xref ref-type="bibr" rid="ref15">15</xref>].</p>
<p>Remak has contributed more than 50 essays to the professional journals, and is the author of:&#x201D;Grundriss der Elektrodiagnostik und Elektrotherapie f&#x00FC;r Praktische Aerzte&#x201D;, Vienna, 1895. &#x201C;Neuritis und Polyneuritis,&#x201D; in Nothnagel&#x2018;s, &#x201C;Handbuch der Speziellen Pathologic und Therapie&#x201D;, ib. 1900.</p>
</sec>
<sec id="sec2-17">
<title>Renb&#x00F6;k Phenomenon</title>
<p>In 1991, Happle et al. coined the term &#x201C;Renb&#x00F6;k&#x201D; phenomenon to describe the opposite of the Koebner phenomenon, designating the withdrawal of a lesion with the appearance of another one. It was originally described in alopecia areata (AA) patients experiencing hair growth in psoriatic lesions. Although psoriasis can often co-exist with AA, reports on psoriasis-induced Renb&#x00F6;k phenomenon in AA have been exceedingly sparse, and did not demonstrate the interchanging nature of these two disorders [<xref ref-type="bibr" rid="ref16">16</xref>].</p>
</sec>
<sec id="sec2-18">
<title>Rendu&#x2019;s Sign</title>
<p>Telangiectases around the mouth found in the malabsorption Osler-Weber-Rendu disease [<xref ref-type="bibr" rid="ref17">17</xref>,<xref ref-type="bibr" rid="ref18">18</xref>].</p>
</sec>
<sec id="sec2-19">
<title>Henri Jules Louis Marie Rendu</title>
<p>French physician, 1844-1902 (<xref ref-type="fig" rid="F7">Fig. 7</xref>). In 1865, on the advice of his father, Rendu registered in the School of Medicine in Paris. First in his class, he became externe in 1867, and in 1868 interne at the H&#x00F4;pital Saint-Antoine in the department of Jules Guyot, also working under Adolphe-Marie Gubler, Ernest Henri Besnier, Henri Louis Roger, and Pierre Charles &#x00C9;douard Potain, with whom he became closely associated.</p>
<fig id="F7">
<label>Figure 7</label>
<caption>
<p>Henri Jules Louis Marie Rendu.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="OURD-8-114-g007.tif"/>
</fig>
<p>In 1870, after the declaration of the Franco-Prussian war, he was appointed as surgeon to the army. He did not accept the principle of evacuation of patients upon whom he had operated, taking a great risk, and asked the help of locals to keep them with him. Coming back to Paris, he held a junior appointment at the H&#x00F4;pital Saint-Louis where he became involved in dermatology, then spent some time in the care of infants and children. In 1873 he was awarded the M&#x00E9;daille d&#x2019;Or of internship and spent a year at the H&#x00F4;pital Necker in the department of professor Pierre Charles &#x00C9;douard Potain, one of France&#x2019;s leading clinicians. In 1874 he produced his thesis on the &#x201C;Paralyses related to tuberculous meningitis in children&#x201D; for which he received the M&#x00E9;daille d&#x2019;Argent. At this time he also started a private practice.</p>
<p>In 1877 Rendu received the degree of hospital physician &#x2013; m&#x00E9;decin des h&#x00F4;pitaux &#x2013; and then married Marie Labric, whose father was a physician at the H&#x00F4;pital des Enfants. In 1878 he finally achieved professeur agr&#x00E9;g&#x00E9; with a thesis on &#x201C;Comparative study of chronic nephritis&#x201D;.</p>
<p>He then began his career in the H&#x00F4;pital Tenon, and in 1885 moved to a senior post as Head of the Department of Medicine at the H&#x00F4;pital Necker, where he spent the remainder of his career.</p>
<p>Rendu published more than 100 medical articles and his academic activities were rewarded in 1878 by elevation to the status of professor agr&#x00E9;g&#x00E9; of the faculty of medicine at the University of Paris. In 1897 he received the ultimate accolade of election to membership of Academy of Medicine. He had a large private practice, and even though he was offered the chair of pathology after the death of Victor Charles Hanot he preferred to remain an active clinician [<xref ref-type="bibr" rid="ref18">18</xref>].</p>
<p>He spent his spare time travelling throughout France seeking specimens for the botanical collection which had been started by his grandfather, and which he made one of the finest collections of plants in France. He was also a great lover of the belle arts.</p>
<p>Rendu published many of his articles in Bulletin de la Soci&#x00E9;t&#x00E9; anatomique de Paris and was its editor 1873-1874. He was a contributor to Dictionnaire enyclop&#x00E9;dique des sciences m&#x00E9;dicales.</p>
</sec>
<sec id="sec2-20">
<title>Reverse Namaskar Sign</title>
<p>Namaskar&#x2019; is the typical Indian way of greeting people, where the forearms are folded in front of the chest and the palms are closely approximated together. In patients with hyperextensible joints as seen in Ehler Danlos syndrome, they are able to fold their forearms at the back and oppose their palms to say &#x201C;Namaskar,&#x201D; demonstrating the hyper extensible joints [<xref ref-type="bibr" rid="ref19">19</xref>].</p>
</sec>
<sec id="sec2-21">
<title>Rhagades Sign</title>
<p>White linear scars which radiate from the corners of the mouth. a sign of congenital syphilis [<xref ref-type="bibr" rid="ref20">20</xref>].</p>
</sec>
<sec id="sec2-22">
<title>Rhodesian Sleeping Sign (Africa)</title>
<p>Zoonotic trypanosomiasis [<xref ref-type="bibr" rid="ref21">21</xref>].</p>
</sec>
<sec id="sec2-23">
<title>Rhodius&#x2019;s Sign</title>
<p>The sweetness of sweat afetr the ingestion of honey [<xref ref-type="bibr" rid="ref22">22</xref>].</p>
</sec>
<sec id="sec2-24">
<title>Apollonius of Rhodes</title>
<p>Was a Greek epic poet and scholar of the Library of Alexandria (First half of 3rd century BCE) (<xref ref-type="fig" rid="F8">Fig. 8</xref>). He was the author of a celebrated epic entitled the Argonautica which described the journey of the Argonauts in their quest for the Golden Fleece. The key episodes of the myth were sourced from older poets such as Hesiod and Pindar [<xref ref-type="bibr" rid="ref23">23</xref>].</p>
<fig id="F8">
<label>Figure 8</label>
<caption>
<p>Apollonius of Rhodes.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="OURD-8-114-g008.tif"/>
</fig>
<p>&#x201C;Apollonius Rhodius. Argonautica. Translated by Seaton, R. C. Loeb Classical Library Volume 001. London, William Heinemann Ltd, 1912.&#x201D;</p>
</sec>
<sec id="sec2-25">
<title>Riga-Fede Sign</title>
<p>Cachectic aphthae (<xref ref-type="fig" rid="F9">Fig. 9</xref>). It is a benign and uncommon mucosal disorder, characterized by an ulceration of the tongue, often caused by repetitive traumatic injuries due to backward and forward movements of the tongue over the mandibular anterior incisors. Also called as Riga&#x2019;s disease or Riga-Fede disease [<xref ref-type="bibr" rid="ref24">24</xref>].</p>
<fig id="F9">
<label>Figure 9</label>
<caption>
<p>Riga-Fede sign in a child with down s&#x00ED;ndrome. Ulcer on ventral surface of tongue and natal teeth.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="OURD-8-114-g009.tif"/>
</fig>
</sec>
<sec id="sec2-26">
<title>Antonio Riga</title>
<p>Italian physician, 1834-1918 (<xref ref-type="fig" rid="F10">Fig. 10</xref>). The young Antonio Riga after finishing his studies in medicine at the University of Naples, he joined the army, reaching the rank of Major.</p>
<fig id="F10">
<label>Figure 10</label>
<caption>
<p>Antonio Riga (Thanks to: COMUNE di SANT&#x2019;ELIA FIUMERAPIDO <ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://www.comune.santeliafiumerapido.fr.it/">http://www.comune.santeliafiumerapido.fr.it/</ext-link>).</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="OURD-8-114-g010.tif"/>
</fig>
<p>Back in Sant&#x2019;Elia Fiumerapido was very active in public and professional life, in fact quickly became known for his scientific studies led him to the discovery of a rash illness of childhood that is called &#x201C;Riga Disease&#x201D;.</p>
<p>Later he wrote remarkable works on scientific topics including &#x201C;Epidemics of malaria fever in 1879&#x201D;.</p>
<p>Very thick was another work written from Riga, but not scientific, but sociological inherent to the condition of the society of his time: &#x201C;Memoria intorno al brigantaggio nel territorio di S&#x2019;Elia e i suoi dintorni&#x201D;. He was ruling with the painter Enrico Risi, the Workers&#x2019; Association of Sant&#x2019;Elia.</p>
<p>In 1889 he did his utmost for the affixing of a commemorative plaque in memory of the martyr Angelo Santilli died in Naples during the riots of 1848. Major Doctor Antonio Riga after a very active life and satisfying, died aged 84. Today he is entitled to the square adjacent to the City Hall Sant&#x2019;Elia. [<xref ref-type="bibr" rid="ref25">25</xref>].</p>
</sec>
<sec id="sec2-27">
<title>Francesco Fede</title>
<p>Italian pediatrician, 1832-1913 (<xref ref-type="fig" rid="F11">Fig. 11</xref>). Francesco Fede studied medicine in Napoli and then worked at the physiological institute under Giuseppe Albini (1860-1885), while also teaching embryology. A large number of his works stems from this time. Besides his normal employment he was also physician to the Nosocomia degli incurabili and taught medical pathologie and clinics. He then changed to paediatrics and in 1892 became professor of this discipline in Napoli.</p>
<fig id="F11">
<label>Figure 11</label>
<caption>
<p>Francesco Fede. (Thanks to Prof. Italo Farnetani from Collaboratori dell&#x2019;Istituto dell&#x2019;Enciclopedia Italiana, Treccani, Roma, Italia).</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="OURD-8-114-g011.tif"/>
</fig>
<p>Fede&#x2019;s works on anaemia splenica infantilis, nephritis, Parrot&#x2019;s disease, rachitis, etc. are fundamental. In 1893 he founded the journal La Pediatria, which was to gain a leading role in Italian paediatrics [<xref ref-type="bibr" rid="ref26">26</xref>].</p>
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