Rumpel-Leede Phenomenon Associated with Noninvasive Blood Pressure Monitoring -A Case Report-

Overview

Journal Korean J Anesthesiol

Specialty Anesthesiology

Date 2010 Sep 30

PMID 20877706

Citations 8

Authors

Yeon Soo Jeon

Yong Shin Kim

Jung-Ah Lee

Kwon-Hui Seo

Jang Hyeok In

Affiliations

Soon will be listed here.

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.

Citing Articles

Biceps muscle injury associated with non-invasive automatic blood pressure monitoring.

Nicol R, Lin I, Prasad L BMJ Case Rep. 2023; 16(8).

PMID: 37643817 PMC: 10465898. DOI: 10.1136/bcr-2023-256459.

Rumpel-Leede Phenomenon Associated with Pneumatic Compression: A Case Report.

Ploydaeng M, Jurairattanaporn N, Suchonwanit P, Rattananukrom T Clin Cosmet Investig Dermatol. 2022; 15:2323-2327.

PMID: 36330316 PMC: 9624147. DOI: 10.2147/CCID.S386426.

Recent Advances in Non-Invasive Blood Pressure Monitoring and Prediction Using a Machine Learning Approach.

Ismail S, Nayan N, Jaafar R, May Z Sensors (Basel). 2022; 22(16).

PMID: 36015956 PMC: 9412312. DOI: 10.3390/s22166195.

Advances in Non-Invasive Blood Pressure Monitoring.

Quan X, Liu J, Roxlo T, Siddharth S, Leong W, Muir A Sensors (Basel). 2021; 21(13).

PMID: 34206457 PMC: 8271585. DOI: 10.3390/s21134273.

Petechiae Over Face: A Case of Rumpel-Leede Phenomenon.

Khan H, Adil M, Amin S, Mudassir M Indian Dermatol Online J. 2020; 11(4):658-659.

PMID: 32832470 PMC: 7413462. DOI: 10.4103/idoj.IDOJ_441_19.

References

White W . The Rumpel-Leede sign associated with a noninvasive ambulatory blood pressure monitor. JAMA. 1985; 253(12):1724. View

Sartorius J . Steroid treatment of idiopathic thrombocytopenic purpura in children. Preliminary results of a randomized cooperative study. Am J Pediatr Hematol Oncol. 1984; 6(2):165-9. DOI: 10.1097/00043426-198406020-00008. View

Rurup C, STOBBE H . [Simple diagnosis of diabetic microangiopathy by means of the tourniquet test]. Z Gesamte Inn Med. 1979; 34(24):756-8. View

Chester M, Barwise J, Holzman M, Pandharipande P . Acute dermal capillary rupture associated with noninvasive blood pressure monitoring. J Clin Anesth. 2007; 19(6):473-5. DOI: 10.1016/j.jclinane.2006.12.010. View

Alford J, Palumbo M, Barnum M . Compartment syndrome of the arm: a complication of noninvasive blood pressure monitoring during thrombolytic therapy for myocardial infarction. J Clin Monit Comput. 2002; 17(3-4):163-6. DOI: 10.1023/a:1020736206507. View

. Nondisposable sphygmomanometer cuffs harbor frequent bacterial colonization and significant contamination by organic and inorganic matter. AANA J. 1996; 64(2):141-5. View

Bickler P, Schapera A, BAINTON C . Acute radial nerve injury from use of an automatic blood pressure monitor. Anesthesiology. 1990; 73(1):186-8. DOI: 10.1097/00000542-199007000-00030. View

Gross A, Holloway R, Fine R . The Rumpel-Leede sign associated with drug-induced erythema multiforme. J Am Acad Dermatol. 1992; 27(5 Pt 1):781-2. DOI: 10.1016/s0190-9622(08)80234-4. View

Sutin K, Longaker M, Wahlander S, Kasabian A, Capan L . Acute biceps compartment syndrome associated with the use of a noninvasive blood pressure monitor. Anesth Analg. 1996; 83(6):1345-6. DOI: 10.1097/00000539-199612000-00040. View

10.

Devbhandari M, Shariff Z, Duncan A . Skin necrosis in a critically ill patient due to a blood pressure cuff. J Postgrad Med. 2006; 52(2):136-8. View

11.

Creevy P, Burris J, Mroczek W . Phlebitis associated with noninvasive 24-hour ambulatory blood pressure monitor. JAMA. 1985; 254(17):2411. View

12.

Lin C, Jawan B, de Villa M, Chen F, Liu P . Blood pressure cuff compression injury of the radial nerve. J Clin Anesth. 2001; 13(4):306-8. DOI: 10.1016/s0952-8180(01)00262-8. View

13.

Archer L, Smith A . Blood pressure measurement in volunteers with and without padding between the cuff and the skin. Anaesthesia. 2001; 56(9):847-9. DOI: 10.1046/j.1365-2044.2001.02180.x. View