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 c...

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Detalles Bibliográficos
Autores principales: Jeon, Yeon Soo, Kim, Yong Shin, Lee, Jung-Ah, Seo, Kwon-Hui, In, Jang Hyeok
Formato: Texto
Lenguaje:English
Publicado: The Korean Society of Anesthesiologists 2010
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2946039/
https://www.ncbi.nlm.nih.gov/pubmed/20877706
http://dx.doi.org/10.4097/kjae.2010.59.3.203
Descripción
Sumario: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.

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