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Rumpel-Leede Phenomenon-An alarming rash with benign etiology in 4 healthy infants

Valerie Pui Yoong Ho1, Jin Ho Chong2, Priya Bishnoi1

  • 1KK Women's and Children's Hospital, Dermatology Service, Singapore, Singapore.

Pediatric Dermatology
|October 19, 2019
PubMed

Insights

The Rumpel-Leede phenomenon (RLP) in children often has benign mechanical causes, not serious systemic conditions. Minimal investigation is needed for well children with a clear mechanical RLP history.

Area of Science:

  • Pediatric Hematology
  • Clinical Pediatrics
  • Dermatology

Background:

  • The Rumpel-Leede phenomenon (RLP) is a rare clinical sign.
  • RLP can be associated with serious systemic conditions.
  • In children, RLP has been linked to idiopathic thrombocytopenic purpura and Henoch-Schönlein purpura.

Observation:

  • This study reviewed pediatric RLP cases with mechanical etiologies.
  • These cases presented with a benign clinical course.
  • A clear history suggestive of a mechanical cause was noted.

Findings:

  • Pediatric RLP cases with mechanical causes demonstrate a benign outcome.
  • Systemic conditions were not observed in these specific pediatric RLP cases.
  • The proposed etiology was mechanical, not indicative of underlying disease.

Implications:

  • Minimal investigations are recommended for pediatric RLP patients who are systemically well.
  • A thorough history focusing on mechanical causes can guide diagnostic approach.
  • This approach avoids unnecessary investigations and healthcare burden for benign RLP presentations.

Keywords:
Baby Carrier PurpuraRumpel-Leede phenomenon

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