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Yes. Children and adults with smaller or larger than average-sized arms may need special-sized cuffs. These are available in some pharmacies and from medical supply companies. They may also be ordered directly from companies that sell blood pressure cuffs. Ask your doctor or pharmacist for help.

Additional Resources:
http://www.americanheart.org/presenter.jhtml?identifier=3069212

http://www.mayoclinic.com/health/high-blood-pressure/HI00016