In December 2019, Dr. Gelfman published a very interesting article in Jama Cardiology entitled The David sign (Gelfman, 2020), explaining his observation in Michelangelo’s David’s neck, in the Accademia Galleria. We read with great interest this paper, in which he affirmed the external jugular vein on the right side of David’s neck was distended well above his clavicle, a fact that led him to observe the same finding in the sculpture of Moses at the tomb of Pope Julius the Second. He realized, based on careful clinical observation, a temporary jugular venous distention must be noticed in healthy individuals when they are excited, and the fact that Michelangelo tried to transmit a message about the capacity of the artist understanding clinical signs and expressing them in his artwork. Inspired by his reflection, we started further investigations that led us to discover a possible nodular goiter in David’s neck, which would explain his distended external jugular vein.
M. Planells Roig1, P. Moreno Lorente2, Alba Coret Franco3, S. Navarro1, M. Duran1, D. Navarro Ortega4
1 Department of Surgery, General Surgery, University Hospital Dr Peset, Valencia, Spain
2 Endocrine Surgery, Bellvitge University Hospital, Barcelona, Spain
3 University Jaime I, Specialists in General Surgery, Castellon, Valencia, Spain
4 Department of Microbiology, University Hospital Dr Peset, Valencia, Spain