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Division of Vector-Borne Infectious Diseases Dengue: Clinical Manifestations and Epidemiology

 
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Tourniquet Test

  • Inflate blood pressure cuff to a point midway between systolic and diastolic pressure for 5 minutes
  • Positive test: 20 or more petechiae per 1 inch² (6.25 cm²)

Source: Pan American Health Organization: Dengue and Dengue Hemorrhagic Fever: Guidelines for Prevention and Control. PAHO: Washington, D.C., 1994: 12.

The tourniquet test assesses capillary fragility. You inflate the blood pressure cuff to a point midway between the systolic and diastolic blood pressures for five minutes. After deflating the cuff, wait for the skin to return to its normal color, and then count the number of petechiae visible in a one-inch-square area on the ventral surface of the forearm. Twenty or more petechiae in the one-inch square patch constitutes a positive test.

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This page last reviewed February 13, 2002

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