School of Medicine and Health Sciences Poster Presentations
A Case Study of Rumple-Leede Phenomenon
Document Type
Poster
Keywords
case report; rumple-leede phenomenon
Publication Date
4-2017
Abstract
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. This phenomenon has been reported
to occur in states of vascular fragility such as long-term
steroid use, hypertension or diabetes mellitus. Here, we
provide a report of RLP occurring secondary to
tourniquet application in a 26-year-old woman with
adult-onset Still’s disease (AOSD) and a recent drug
rash. In this case, the cause of the phenomenon is most
likely multifactorial. Likely contributing factors include
long-term steroid use for the treatment of AOSD, and
increased vascular permeability secondary to the drug
rash. Patients and clinicians should be aware that the
treatment of AOSD may induce a state of capillary
fragility and they should work together to minimize the
risk of complications.
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Open Access
1
A Case Study of Rumple-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. This phenomenon has been reported
to occur in states of vascular fragility such as long-term
steroid use, hypertension or diabetes mellitus. Here, we
provide a report of RLP occurring secondary to
tourniquet application in a 26-year-old woman with
adult-onset Still’s disease (AOSD) and a recent drug
rash. In this case, the cause of the phenomenon is most
likely multifactorial. Likely contributing factors include
long-term steroid use for the treatment of AOSD, and
increased vascular permeability secondary to the drug
rash. Patients and clinicians should be aware that the
treatment of AOSD may induce a state of capillary
fragility and they should work together to minimize the
risk of complications.
Comments
Poster to be presented at GW Annual Research Day 2017.