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Acute dermal capillary rupture associated with noninvasive blood pressure monitoring
Michael W Chester1, John A Barwise, Michael D Holzman
1Department of Anesthesiology, Vanderbilt Medical Center, Nashville, TN 37212-1204, USA. michael.chester@vanderbilt.edu
Abstract:
We report a case of Rumpel-Leede phenomenon, or acute dermis capillary rupture, secondary to noninvasive blood pressure monitoring in a patient with type 2 diabetes mellitus. The most likely cause was increased venous pressure during cycling of the blood pressure cuff during a hypertensive state. Anesthesiologists need to be aware that acute dermal capillary rupture, although rare, can occur in patients with thrombocytopenia and/or long-standing diabetes.
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