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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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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
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description 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.
doi_str_mv 10.4097/kjae.2010.59.3.203
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subjects Case Report
hypertension
noninvasive blood pressure cuff
rumpel-leede phenomenon
steroid
vascular fragility
마취과학
title Rumpel-Leede phenomenon associated with noninvasive blood pressure monitoring -A case report
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