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Ploydaeng M, Jurairattanaporn N, Suchonwanit P, Rattananukrom T. Rumpel-Leede Phenomenon Associated with Pneumatic Compression: A Case Report. Clin Cosmet Investig Dermatol 2022; 15:2323-2327. [PMID: 36330316 PMCID: PMC9624147 DOI: 10.2147/ccid.s386426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 10/04/2022] [Indexed: 11/05/2022]
Abstract
Rumpel-Leede phenomenon is a rarely reported condition with an unknown prevalence. It is characterized by the acute development of non-blanchable purpuric macules resulting from dermal capillary rupture caused by compressive forces. We report a case of Rumpel-Leede phenomenon in both feet following the application of pneumatic compression in a 49-year-old woman who underwent en bloc spondylectomy for a giant cell tumor of the spine. The condition appeared after the application of pneumatic compression on both legs for venous thromboembolism prophylaxis, and the lesions spontaneously resolved after discontinuation of compression. Currently, most cases are reported in patients with a history of diabetes mellitus, hypertension, or thrombocytopenia. We report a case of Rumpel-Leede phenomenon in a patient without underlying medical conditions. In our patient, capillary fragility combined with increased intracapillary pressure was hypothesized as the underlying mechanism.
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Affiliation(s)
- Monthanat Ploydaeng
- Division of Dermatology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Natthachat Jurairattanaporn
- Division of Dermatology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Poonkiat Suchonwanit
- Division of Dermatology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Teerapong Rattananukrom
- Division of Dermatology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand,Correspondence: Teerapong Rattananukrom, Division of Dermatology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Ratchathewi, Bangkok, 10400, Thailand, Tel +66-2-2011141, Fax +66-2-201-1211 ext 4, Email
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Feeley TBM, Connolly LR. Facial Petechiae Following Laparoscopic Surgery: A Case Report of Rumpel-Leede Phenomenon. A A Pract 2021; 15:e01533. [PMID: 34673741 DOI: 10.1213/xaa.0000000000001533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Petechial development as a result of venous compression has variously been described as acute dermal capillary rupture, mask phenomenon, and Rumpel-Leede Phenomenon. We describe the case of a patient who developed a facial petechial rash following a laparoscopic abdominal hysterectomy in steep Trendelenburg position. We review the physiological effects of laparoscopic surgical techniques and Trendelenburg positioning. These physiological effects lead to cephalad venous compression and are analogous to the venous compression caused by a tourniquet. The circumstances preceding its development and the characteristics of the facial rash lead us to conclude that the patient we present developed facial Rumple-Leede Phenomenon.
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Affiliation(s)
- Tara B M Feeley
- From the Department of Anesthesia, National Women's Health, Auckland District Health Board, Auckland, New Zealand
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Mutalik S, Belgaumkar V, Rasal Y. Rumple-Leede Phenomenon Associated with Leg Massager. J Lifestyle Med 2020; 10:64-65. [PMID: 32328451 PMCID: PMC7171061 DOI: 10.15280/jlm.2020.10.1.64] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Accepted: 05/06/2019] [Indexed: 11/22/2022] Open
Affiliation(s)
- Sharad Mutalik
- Dermatotherapy & Cosmetology Centre, Maharashtra Medical Foundation's Joshi Hospital, Pune, India
| | | | - Yashashree Rasal
- Dermatotherapy & Cosmetology Centre, Maharashtra Medical Foundation's Joshi Hospital, Pune, India
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Adil M, Khan H, Amin S, Mudassir M. Petechiae over face: A case of rumpel-leede phenomenon. Indian Dermatol Online J 2020; 11:658-659. [PMID: 32832470 PMCID: PMC7413462 DOI: 10.4103/idoj.idoj_441_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Revised: 10/08/2019] [Accepted: 11/26/2019] [Indexed: 11/04/2022] Open
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