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Images in paediatrics
Loom bands: a case of post-tourniquet syndrome
  1. Susannah Pye,
  2. Joanna Banks,
  3. Cauvery Pal
  1. Starlight Ward (Paediatric Unit), Homerton Hospital, London, UK
  1. Correspondence to Dr Susannah Pye, Starlight Ward (Paediatric Unit), Homerton Hospital, Homerton Row, London E9 6SR, UK; spye23{at}

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A 4-year-old girl with a recent diagnosis of autism developed severe swelling of her right hand after wearing an elastic ‘Loom band’ (figure 1) overnight. Examination revealed an oedematous, erythematous hand with intact neurovascular status (figure 2). Non-verbal communication was noted to be the preferred method of interaction. Finger flexion and extension were markedly reduced. Initial management with analgesia and limb elevation …

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  • Contributors SP, JB and CP were involved in the writing and clinical review of the case and patient.

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval

  • Provenance and peer review Not commissioned; internally peer reviewed.