Rumpel-Leede test

from Wikipedia, the free encyclopedia

The Rumpel-Leede test (or Rumpel-Leede congestion test ) is a medical examination to check the stability of the capillaries (the capillary resistance ) and the functionality of the platelets .

The Rumpel-Leede test is performed by placing a blood pressure cuff on the patient's upper arm and inflating it to a pressure between diastolic and systolic blood pressure (optimal: 90 mmHg). After 10 minutes the cuff is removed and the arm examined for petechial bleeding . The test is positive if more than 10 petechiae are detectable below the congestion ( Rumpel-Leede's sign ).

A positive test result can indicate a tendency towards vascular bleeding or a lack of effectiveness of the platelets. The latter can be due to either a reduced platelet count ( thrombocytopenia ) or a platelet dysfunction ( thrombocytopathy ). Positive tests can be found, for example, in scarlet fever and idiopathic thrombocytopenic purpura .

The test is named after the first descriptors Theodor Rumpel and Carl Stockbridge Leede , who published the procedure in 1909 and 1911, respectively, independently of one another.

An alternative test to check the functionality of the platelets is platelet aggregometry .

swell

  • B. Kemkes-Matthes, G. Oehler: Blood coagulation and thrombosis. Georg Thieme Verlag, 3rd edition 2001, ISBN 3-13-104822-0 .
  • Klaus Holldack, Klaus Gahl: Auscultation and percussion. Inspection and palpation. Thieme, Stuttgart 1955; 10th, revised edition, ibid 1986, ISBN 3-13-352410-0 , p. 49.
  • Ludwig Heilmeyer , Herbert Begemann: blood and blood diseases. In: Ludwig Heilmeyer (ed.): Textbook of internal medicine. Springer-Verlag, Berlin / Göttingen / Heidelberg 1955; 2nd edition ibid. 1961, pp. 376-449, here: p. 388 ( test of capillary resistance ).