BMJ Case Reports 2016; doi:10.1136/bcr-2016-216270

Trousseau's sign at the emergency department

  1. Richard P Koopmans
  1. Department of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands
  1. Correspondence to Dr Bas C T van Bussel, bas.van.bussel{at}
  • Accepted 19 July 2016
  • Published 1 August 2016


A 83-year-old woman presented with malaise, diarrhoea and cramps and tingling in arms and legs. Her medical history noted hypertension, hypercholesterolaemia, arthrosis of her knee and treatment of an upper airway tract infection with antibiotics 1 month ago.

Physical examination revealed a clear Trousseau's sign (video 1), which is a carpopedal spasm induced by ischaemia through inflation of a sphygmomanometer cuff …

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