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

• Published in: Korean Journal of Anesthesiology
• Main Authors: Yeon Soo Jeon, Yong Shin Kim, Jung-Ah Lee, Kwon-Hui Seo, Jang Hyeok In
• Format: Article
• Language: English
• Published: Korean Society of Anesthesiologists 2010-09-01
• Subjects: hypertension; noninvasive blood pressure cuff; rumpel-leede phenomenon; steroid; vascular fragility
• Online Access: http://ekja.org/upload/pdf/kjae-59-203.pdf

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.