Imperial College London
Alternate

Dr P Boon Lim

Faculty of Medicine, National Heart & Lung Institute

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 3313 2115p.b.lim Website

 
 
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Location

 

Cardiology DepartmentBlock B Hammersmith HospitalHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Hartley:2016:10.1186/s13256-016-0950-3,
author = {Hartley, A and Lim, PB and Hayat, SA},
doi = {10.1186/s13256-016-0950-3},
journal = {Journal of Medical Case Reports},
title = {Rumpel-Leede phenomenon in a hypertensive patient due to mechanical trauma: a case report.},
url = {http://dx.doi.org/10.1186/s13256-016-0950-3},
volume = {10},
year = {2016}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: In this report, we present an interesting case of a patient with Rumpel-Leede phenomenon, a rare occurrence that can result in significant delays in medical treatment. This phenomenon is characterized by the presence of a petechial rash that results from acute dermal capillary rupture. In our patient, it occurred secondary to raised pressure in the dermal vessels caused by repeated inflation of a sphygmomanometer cuff. Contributory factors in Rumpel-Leede phenomenon include prevalent conditions such as diabetes mellitus, hypertension, thrombocytopenia, chronic steroid use, antiplatelets, and anticoagulants. CASE PRESENTATION: A 58-year-old Russian woman with diabetes and hypertension presented to our hospital with a non-ST elevation myocardial infarction, and she subsequently developed a petechial rash on her distal upper limbs. A vasculitic screen was performed, with normal results. CONCLUSIONS: Given the timing and distribution of the rash, it was felt that this was an example of Rumpel-Leede phenomenon in a susceptible individual. This is an important diagnosis to be aware of in patients with vascular risk factors presenting for acute medical care who subsequently develop a petechial rash.
AU  - Hartley,A
AU  - Lim,PB
AU  - Hayat,SA
DO  - 10.1186/s13256-016-0950-3
PY  - 2016///
SN  - 1752-1947
TI  - Rumpel-Leede phenomenon in a hypertensive patient due to mechanical trauma: a case report.
T2  - Journal of Medical Case Reports
UR  - http://dx.doi.org/10.1186/s13256-016-0950-3
UR  - http://hdl.handle.net/10044/1/37573
VL  - 10
ER  -
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