Rumpel-Leede phenomenon associated with noninvasive blood pressure monitoring: A case report.
10.4097/kjae.2010.59.3.203
- Author:
Yeon Soo JEON
1
;
Yong Shin KIM
;
Jung Ah LEE
;
Kwon Hui SEO
;
Jang Hyeok IN
Author Information
1. Department of Anesthesiology and Pain Medicine, Saint's Vincent's Hospital, The Catholic University of Korea, Suwon, Korea. gooddoctor@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Hypertension;
Noninvasive blood pressure cuff;
Rumpel-Leede phenomenon;
Steroid;
Vascular fragility
- MeSH:
Blood Pressure;
Capillaries;
Dermis;
Diabetes Mellitus, Type 2;
Humans;
Hypertension;
Rupture;
Venous Pressure
- From:Korean Journal of Anesthesiology
2010;59(3):203-205
- CountryRepublic of Korea
- Language:English
-
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.
