Rumpel-Leede phenomenon associated with noninvasive blood pressure monitoring -A case report

We report a case of Rumpel-Leede (RL) phenomenon, - acute dermis capillary rupture, secondary to noninvasive blood pressure (NIBP) monitoring in a patient with type 2 diabetes mellitus (DM) and hypertension. The first most likely cause is vascular fragility in microangiopathy as a result of DM and c...

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Bibliographic Details
Published in:Korean journal of anesthesiology 2010, 59(3), , pp.203-205
Main Authors: Jeon, Yeon Soo, Kim, Yong Shin, Lee, Jung-Ah, Seo, Kwon-Hui, In, Jang Hyeok
Format: Article
Language:English
Subjects:
Case Report
hypertension
noninvasive blood pressure cuff
rumpel-leede phenomenon
steroid
vascular fragility
마취과학
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Summary:We report a case of Rumpel-Leede (RL) phenomenon, - acute dermis capillary rupture, secondary to noninvasive blood pressure (NIBP) monitoring in a patient with type 2 diabetes mellitus (DM) and hypertension. The first most likely cause is vascular fragility in microangiopathy as a result of DM and chronic steroid use. The second is the increased venous pressure during cycling of the blood pressure cuff in a hypertensive state. Anesthesiologists need to be aware that acute dermal capillary rupture, although rare, can occur in patients with long-standing DM, hypertension and chronic steroid use.
ISSN:2005-6419
2005-7563
DOI:10.4097/kjae.2010.59.3.203