ELI GOODMAN, M.D.
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To the editor: An experience I had recently in an emergency room illustrates an interesting clinical clue that I will term the "unicorn sign. "
A 60-year-old man presented with coma caused by a head injury sustained during a bicycling accident. Neither previous medical history nor information from family or friends was immediately available. Neurologic examination showed findings consistent with an intracerebral mass, presumably an acute hemorrhage secondary to the trauma. Physical examination showed a large, disfiguring 6-cm nodule of the forehead (the "unicorn sign"), which was probably a subcutaneous cyst that had been present for many years. There also
GOODMAN E. Physical Signs of Rejected Treatment. Ann Intern Med. 1983;98:1031–1032. doi: 10.7326/0003-4819-98-6-1031_3
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Published: Ann Intern Med. 1983;98(6):1031-1032.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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