| Literature DB >> 20877706 |
Yeon Soo Jeon1, Yong Shin Kim, Jung-Ah Lee, Kwon-Hui Seo, Jang Hyeok In.
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.Entities:
Keywords: Hypertension; Noninvasive blood pressure cuff; Rumpel-Leede phenomenon; Steroid; Vascular fragility
Year: 2010 PMID: 20877706 PMCID: PMC2946039 DOI: 10.4097/kjae.2010.59.3.203
Source DB: PubMed Journal: Korean J Anesthesiol ISSN: 2005-6419