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KMID : 0356920100590030203
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Korean Journal of Anesthesiology
2010 Volume.59 No. 3 p.203 ~ p.205
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Rumpel-Leede phenomenon associated with noninvasive blood pressure monitoring -A case report-
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Jeon Yeon-Soo
Lee Jung-Ah
In Jang-Hyeok
Kim Yong-Shin
Seo Kwon-Hui
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Abstract
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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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KEYWORD
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Hypertension, Noninvasive blood pressure cuff, Rumpel-Leede phenomenon, Steroid, Vascular fragility
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