Acute dermal capillary rupture associated with noninvasive blood pressure monitoring.
We report a case of Rumpel-Leede phenomenon, or acute dermis capillary rupture, secondary to noninvasive blood pressure monitoring in a patient with type 2 diabetes mellitus. The most likely cause was increased venous pressure during cycling of the blood pressure cuff during a hypertensive state. Anesthesiologists need to be aware that acute dermal capillary rupture, although rare, can occur in patients with thrombocytopenia and/or long-standing diabetes.
Chester
Michael W
MW
Department of Anesthesiology, Vanderbilt Medical Center, Nashville, TN 37212-1204, USA. michael.chester@vanderbilt.edu
Barwise
John A
JA
Holzman
Michael D
MD
Pandharipande
Pratik
P
D000208:Acute Disease; D001795:Blood Pressure Determination / Q000009:adverse effects*; D002198:Capillary Fragility; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D005260:Female; D006801:Humans; D008875:Middle Aged; D011693:Purpura / Q000209:etiology*; D014690:Venous Pressure