Reverse tripod sign: A novel clinical observation in respiratory distress

Sivagnaname, Yuvarajan; Radhakrishnan, Praveen; Navya, Cherukumalli; Ravikumar, Sagana; K, Durga

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DOI 10.18231/j.ijirm.2025.018
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Citation

Reverse tripod sign: A novel clinical observation in respiratory distress

Author Details:

Yuvarajan Sivagnaname ^*

Praveen Radhakrishnan

Cherukumalli Navya

Sagana Ravikumar

Durga K

IP Indian Journal of Immunology and Respiratory Medicine. 10(2):98-100, 2025. | 10.18231/j.ijirm.2025.018

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The tripod position is a well-recognised clinical sign in respiratory distress, commonly associated with obstructive airway diseases. This article introduces a novel postural variant—the Reverse Tripod Sign—characterised by patients leaning backwards or sitting upright with arms extended behind or laterally, bracing on a surface to relieve dyspnea. This posture was observed in at least 48 patients over one year, across a spectrum of chronic lung and neuromuscular conditions including COPD, pulmonary hypertension, interstitial lung disease, diaphragmatic weakness, and post-tuberculous sequelae. Recognising this sign may aid in bedside identification of severe disease and guide further diagnostic evaluation.

Keywords: Reverse tripod sign, Dyspnea posture, Pulmonary hypertension, Interstitial lung disease, Orthopnea, Diaphragmatic dysfunction.

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IP Indian Journal of Immunology and Respiratory Medicine

Reverse tripod sign: A novel clinical observation in respiratory distress

Author Details: Yuvarajan Sivagnaname * Praveen Radhakrishnan Cherukumalli Navya Sagana Ravikumar Durga K

References

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Author Details:

Yuvarajan Sivagnaname ^*

Praveen Radhakrishnan

Cherukumalli Navya

Sagana Ravikumar

Durga K