Korean J Anesthesiol.  2010 Sep;59(3):203-205. 10.4097/kjae.2010.59.3.203.

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

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Saint's Vincent's Hospital, The Catholic University of Korea, Suwon, Korea. gooddoctor@catholic.ac.kr

Abstract

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.

Keyword

Hypertension; Noninvasive blood pressure cuff; Rumpel-Leede phenomenon; Steroid; Vascular fragility

MeSH Terms

Blood Pressure
Capillaries
Dermis
Diabetes Mellitus, Type 2
Humans
Hypertension
Rupture
Venous Pressure
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