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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UMass Chan Med Sch, St Vincent Hosp, Dept Cardiovasc Med, Worcester, MA 01655 USAUMass Chan Med Sch, St Vincent Hosp, Dept Cardiovasc Med, Worcester, MA 01655 USA
Bhattad, Pradnya Brijmohan
Sharma, Nitish Kumar
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UMass Chan Med Sch, St Vincent Hosp, Dept Cardiovasc Med, Worcester, MA 01655 USAUMass Chan Med Sch, St Vincent Hosp, Dept Cardiovasc Med, Worcester, MA 01655 USA
Sharma, Nitish Kumar
Ramsaran, Eddison
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UMass Chan Med Sch, St Vincent Hosp, Dept Cardiovasc Med, Worcester, MA 01655 USAUMass Chan Med Sch, St Vincent Hosp, Dept Cardiovasc Med, Worcester, MA 01655 USA
机构:
Albert Einstein Coll Med, Bronx, NY 10467 USA
Rady Childrens Hosp, Div Pediat & Adolescent Dermatol, San Diego, CA USAAlbert Einstein Coll Med, Bronx, NY 10467 USA
Nguyen, Tuyet A.
Garcia, Daniel
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Rady Childrens Hosp, Div Pediat & Adolescent Dermatol, San Diego, CA USA
Univ Calif San Diego, La Jolla, CA 92093 USAAlbert Einstein Coll Med, Bronx, NY 10467 USA
Garcia, Daniel
Wang, Audrey S.
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Rady Childrens Hosp, Div Pediat & Adolescent Dermatol, San Diego, CA USA
Univ Calif San Diego, La Jolla, CA 92093 USAAlbert Einstein Coll Med, Bronx, NY 10467 USA
Wang, Audrey S.
Friedlander, Sheila Fallon
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Rady Childrens Hosp, Div Pediat & Adolescent Dermatol, San Diego, CA USA
Univ Calif San Diego, La Jolla, CA 92093 USAAlbert Einstein Coll Med, Bronx, NY 10467 USA
Friedlander, Sheila Fallon
Krakowski, Andrew C.
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Rady Childrens Hosp, Div Pediat & Adolescent Dermatol, San Diego, CA USA
Univ Calif San Diego, La Jolla, CA 92093 USAAlbert Einstein Coll Med, Bronx, NY 10467 USA