Abstract
Various bands applied to the arm at the bedside occlude the arm resulting in petechiae and/or purpura in the distal forearm in patients with underlying conditions with altered platelet function or numbers or who have vascular fragility. Appreciating these findings is important as they may surreptitiously occur during clinical practice when a sphygmomanometer blood pressure cuff is applied; thus, their significance should be understood. The purpose of this review is to clarify misconceptions and seek clarity regarding the historical aspects of the performance of the Rumpel-Leede sign, test, or phenomenon and other signs and tests (Hess capillary resistance test, ligature sign, bandage sign, Grocco-Frugoni sign, or lace sign, and Weill-Chalier sign) designed to assess bleeding diathesis or vasculopathies causing increased capillary fragility in various diseases.
References
- Yale SH, Tekiner H, Mazza JJ, Yale ES, Yale RC. Cardiovascular Eponymic Signs: Diagnostic Skills Applied During the Physical Examination. Cham: Springer; 2021.
- Rumpel T. Photographien von Scharlachkranken mit multiplen Hautblutungen. Dtsch med Wschr 1909;35(2):2297.
- Leede C. Hautblutungen, durch Stauung hervorgerufen als diagnostisches Hilfsmittel beim Scharlach. Munch med Wschr 1911;58:293-5.
- Frugoni C, Giugni F. Le signe du lacet dans les maladies a manifestations hemorragiques. Sem med 1911;31(3):25-8.
- Weill E, Chalier J. Le purpura provoque par hypertension veineuse. Bull Soc med hop Lyon 1911;10(1):167-72.
- Hess AF, Fish M. Infantile scurvy: the blood, the blood–vessels and the diet. In: Collected Studies from the Bureau of Laboratories, Department of Health, City of New York, vol. 8. New York: The Bureau; 1915. pp. 331-47.
- Mohammad KO, Hyman C, Gandhi S. Rumpel Leede sign. Mayo Clin Proc 2022;97(7):1230-1.
- Gui Y, Wang J, Ye L, Pen G, Wang L. Coronary angiography causes Rumpel-Leede symptoms. BMC Cardiovasc Disord 2022;22:332.
- Ramme AJ, Gales J, Stevens N, Verma V, Egol K. Rumpel-Leede phenomenon in a patient with laboratory markers positive for Sjogren disease. A A Case Rep 2016;6(11):352-4.
- Eichner HL. Rumpel-Leede sign associated with a noninvasive ambulatory blood pressure monitor. JAMA 1985;254(4):506.
Abstract
Yatak başında kola uygulanan çeşitli bantlar; altta yatan, trombosit fonksiyonu bozulmuş/sayısı değişmiş veya vaskuler frajilitesi olan hastaların on kol distalinde peteşi ve/veya purpuraya neden olabilmektedir. Klinik uygulamalarda sfigmomanometre ile tansiyon ölçümleri sırasında gizlice ortaya çıkabileceği için bu bulgular önem arz eder ve dikkate alınmalıdır. Bu derlemenin amacı, ceşitli hastalıklarda artmış kapiller frajiliteye neden olan kanama diyatezi veya vaskulopatileri değerlendirmek icin tasarlanmış Rumpel-Leede işareti, testi veya fenomeni ile diğer işaret ve testler (Hess kapiller direnc testi, bağ işareti, bandaj işareti, Grocco-Frugoni işareti, dantel işareti veya Weill-Chalier işareti) hakkındaki yanlış anlamaları, özgün kaynaklar ışığında gidererek konuyu tarihi açıdan netleştirmektir.
References
- Yale SH, Tekiner H, Mazza JJ, Yale ES, Yale RC. Cardiovascular Eponymic Signs: Diagnostic Skills Applied During the Physical Examination. Cham: Springer; 2021.
- Rumpel T. Photographien von Scharlachkranken mit multiplen Hautblutungen. Dtsch med Wschr 1909;35(2):2297.
- Leede C. Hautblutungen, durch Stauung hervorgerufen als diagnostisches Hilfsmittel beim Scharlach. Munch med Wschr 1911;58:293-5.
- Frugoni C, Giugni F. Le signe du lacet dans les maladies a manifestations hemorragiques. Sem med 1911;31(3):25-8.
- Weill E, Chalier J. Le purpura provoque par hypertension veineuse. Bull Soc med hop Lyon 1911;10(1):167-72.
- Hess AF, Fish M. Infantile scurvy: the blood, the blood–vessels and the diet. In: Collected Studies from the Bureau of Laboratories, Department of Health, City of New York, vol. 8. New York: The Bureau; 1915. pp. 331-47.
- Mohammad KO, Hyman C, Gandhi S. Rumpel Leede sign. Mayo Clin Proc 2022;97(7):1230-1.
- Gui Y, Wang J, Ye L, Pen G, Wang L. Coronary angiography causes Rumpel-Leede symptoms. BMC Cardiovasc Disord 2022;22:332.
- Ramme AJ, Gales J, Stevens N, Verma V, Egol K. Rumpel-Leede phenomenon in a patient with laboratory markers positive for Sjogren disease. A A Case Rep 2016;6(11):352-4.
- Eichner HL. Rumpel-Leede sign associated with a noninvasive ambulatory blood pressure monitor. JAMA 1985;254(4):506.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | History of Medicine |
| Journal Section | Derleme |
| Authors | |
| Publication Date | December 3, 2023 |
| Published in Issue | Year 2023 Issue: 26-28 |
