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 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.
Jeon
Yeon Soo
YS
Department of Anesthesiology and Pain Medicine, Saint's Vincent's Hospital, The Catholic University of Korea, Suwon, Korea.
Kim
Yong Shin
YS
Lee
Jung-Ah
JA
Seo
Kwon-Hui
KH
In
Jang Hyeok
JH