Letter to the Editor

Do No Harm to the Arm!: Hypertension and Unilateral Hand Rash

Authors: Brad Sapp, MD, Aaron Brown, MD, Semaan Georges Kosseifi III, MD


To the Editor:

Sophisticated monitoring may not always be better for the patient ….

Ambulatory blood pressure monitoring is often utilized in the healthcare setting for a multitude of indications including the evaluation of episodic hypertension. It is a convenient diagnostic tool due to its precision, lack of observer bias and reproducibility.1 However, ambulatory blood pressure monitoring can be inconvenient, uncomfortable and sometimes harmful for the patient.2

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1. White WB, Mansoor GA. Ambulatory blood pressure monitoring. Curr Opin Nephrol Hypertens 1993;2:928–934.
2. Appel LJ, Stason WB. Ambulatory blood pressure monitoring and blood pressure self-measurement in the diagnosis and management of hypertension. Ann Intern Med 1993;118:867–882.