From Big Medical Encyclopedia

KONCHALOVSKOGO-RUMPELYA-LEEDE SYMPTOM ( M. P. Konchalovsky , Soviet therapist, 1875 — 1942; Th. Rumpel, is mute. doctor, 1862 — 1923; Page of Leede, it is mute. doctor, sort. in 1882; a synonym a bandage sign) — small hemorrhages in the skin of a shoulder and a forearm arising at an applying a tourniquet on a shoulder. This symptom irrespective of Rumpel (1909) and to Leede (1911) was described by M. P. Konchalovsky in 1911.

For a research of a symptom an average third of a shoulder for 10 min. is squeezed a plait (at preservation of a pulsation of a beam artery) or for 5 min. a cuff of the sphygmomanometer, supporting in it pressure equal to diastolic. The symptom is considered positive if on site prelums of a shoulder and distalny from it appear plentiful petechias, ecchymomas.

Development of hemorrhages is connected with damage of capillaries, the increased their fragility and permeability that can be a consequence of an infection, intoxication, disturbance of a hemostasis, disproteinemia, S-hypovitaminosis, humoral influences (including a histamine, bradikinin).

The positive bandage sign is never observed at scarlet fever, a typhus (in the first 3 — 5 days of a disease), measles, flu, a scurvy, vasculites, a long septic endocarditis, and also at a Werlhof's disease and at Valdenstrem's disease, but at hemophilia that distinguishes it from the specified hemorrhagic diathesis.

Bibliography: Kassirsky I. A. and Alekseev G. A. Clinical hematology, page 687, 723, M., 1970; Konchalovsky M. P. Case of hemorrhagic diathesis, Works Mosk. ter. islands, page 232, 1911; Leede C. Hautblutungen durch Stauung hervorgeruften ais diagnos-tisches Hilfsmittel beirn Scharlach, Miinch. med. Wschr., S. 293, 1911; Rumpel, Hautblutungen bei Scharlach, ibid., S. 1404, 1909.

B. V. Konyaev.