What is Rumpel Leede phenomenon?

What is Rumpel Leede phenomenon?

Rumpel-Leede (R-L) phenomenon is the rare event in which the small dermal capillaries of an extremity rupture in response to application of a compressive device to that extremity, such as when inflating a cuff during noninvasive blood pressure monitoring or when applying a tourniquet to draw blood.

Can BP cuff cause petechiae?

Although non-invasive blood pressure (NIBP) monitoring is regarded as a safe procedure, blood pressure (BP) cuff can cause petechial rash, ecchymoses, venous stasis, thrombophlebitis [1,2], infection [3], hematoma formation in patients on anticoagulants [4], compartment syndrome [5], compressive neuropathy [2,6] and …

What happens if you leave a blood pressure cuff on too long?

A BP cuff that is too large will give falsely low readings, while an overly small cuff will provide readings that are falsely high.

Can a blood pressure cuff cause a bruise?

Please be aware that bruising may occur while you are wearing this device. Repeated squeezing of the upper arm is unavoidable and uncomfortable and may result in some bruising under the cuff. Between recordings, your hand and arm should return to normal.

Why is BP cuff painful?

Keep in mind, too, that your cuff needs to inflate to a higher pressure than your systolic blood pressure in order to take a measurement; so if your blood pressure is especially high, the cuff may inflate to a higher level than usual and cause some pain.

What are the interfering factors that could affect the Rumpel-Leede fragility test?

Interfering factors with this test are women who are premenstrual, postmenstrual and not taking hormones, or those with sun damaged skin, since all will have increased capillary fragility.

Can blood pressure cuff damage nerves?

]. The incidence of automatic blood pressure cuff-related nerve injury is unknown, as it has been described only in case reports. All of the case reports showed single nerve injury, but in our case, all the major nerves of the left upper limb were affected.

Does dehydration cause high blood pressure?

In response, when you’re dehydrated, your kidneys reabsorb water as opposed to passing it in urine. High concentrations of vasopressin can also cause your blood vessels to constrict. This can lead to an increase in blood pressure.

Does a tight cuff affect blood pressure?

If the cuff you’re using doesn’t fit properly, it could squeeze your arm too tightly, causing your skin to fold over and pinch. Not only that, but an improper cuff fit could also lead to error codes on your blood pressure monitor or incorrect — often abnormally high — blood pressure readings.

What is the Rumpel-Leede phenomenon?

Rumpel-Leede phenomenon (RLP), also known as acute capillary rupture syndrome (ACRS), is a rare occurrence where distal dermal capillaries rupture in response to a proximal compressive force, such as a blood pressure cuff or tourniquet.

What is the history of Rumpel-Leede sign?

Rumpel-Leede sign was first reported in 1909 by Theodor Rumpel and again in 1911 by Carl Stockbridge Leede. While treating patients with scarlet fever, they both noted petechiae on patients’ arms distal to where a tourniquet had been applied.

Is the Rumpel-Leede sign iatrogenic?

Today, the Rumpel-Leede sign may be observed iatrogenically in the context of continuous blood pressure monitoring, as was the case in our patient. The first reported association of Rumpel-Leede sign with hypertension and prolonged blood pressure monitoring was described by White et al.

What is the significance of R-L phenomenon?

R-L phenomenon is believed to occur most often in patients with underlying vascular disease, such as diabetes mellitus or thrombocytopenia. Historically it has been used for the assessment of capillary fragility and thrombocytopenia though petechiae are caused by physical traumas or medical conditions.