Dengue is a mosquito-borne infection and is prevalent in tropical regions. Its diagnosis is a clinical challenge that involves a series of clinical and paraclinical considerations, including the Rumpel Leede sign, also known as the tourniquet test or loop test, which is recommended by the WHO. This technique is fast, cheap, easy to perform, provides information on capillary fragility, and is used as a differential diagnosis for diseases such as dengue fever and other bleeding disorders due to increased capillary fragility. The count of petechiae produced by capillary rupture in an area of about 6.25 cm² (2.54 cm X 2.54 cm square), is carried out by inflating a blood pressure cuff around the upper arm to the midpoint between the pressures. individual's systolic and diastolic arteries and leaving it inflated for 5 minutes. After 5 minutes, a count of more than 10 petechiae in 6.25 cm2 is positive for the Rumpel-Leede sign. We have detected a flaw in the conception or perception of the dimensions of the area recommended by the WHO and to help remedy this, we have designed a template that we make available to you so that you can download and print it on whatever material you like. We are sure that this template will help you size the area correctly and avoid biases and support diagnostic decision making. The printing details are left in the file description. Thank you for your comments.
Sincerely
Mustapha Ahmad1, José D. Carrillo2, Francisco G. González2, Luis J. Moreno2, Jesús D. Quiroz2, Álvaro Rumbo D2. and Jose Villarreal-Camacho3.
Dengue is a mosquito-borne infection that predominates in tropical regions. Its diagnosis is a clinical challenge involving a number of clinical and paraclinical considerations including the Rumpel Leede sign, also known as the tourniquet test or loop test and recommended by WHO. This technique is quick, inexpensive, easy to perform, provides information on capillary fragility and is used as a differential diagnosis for diseases such as dengue fever and other bleeding disorders due to increased capillary fragility. Counting petechiae produced by capillary rupture in an area of about 6.25 cm² (2.54 cm X 2.54 cm square), is performed by inflating a blood pressure cuff around the upper arm to the midpoint between the individual's systolic and diastolic blood pressures and leaving it inflated for 5 minutes. After the 5 minutes, a count greater than 10 petechiae in 6.25 cm2 is positive for the Rumpel-Leede sign. We have detected a failure in the conception or perception of the dimensions of the area recommended by the WHO and to help remedy this, we have designed a template that we leave at your disposal for you to download and print on the material of your choice. We are sure that this template will help you to dimension the area correctly and avoid biases and support diagnostic decision making. Printing details are provided in the file description. Thank you very much for your comments.
Sincerely
Mustapha Ahmad1, Jose D. Carrillo2, Francisco G. Gonzalez2, Luis J. Moreno2, Jesus D. Quiroz2, Alvaro Rumbo D2. and Jose Villarreal-Camacho3.
Simón Bolívar University, Barranquilla, Colombia. 2. 2. Medical Student. 3. Medicine Program, Universidad Libre Seccional Barranquilla.