Coronary angiography causes Rumpel-Leede symptoms

BMC Cardiovasc Disord. 2022 Jul 25;22(1):332. doi: 10.1186/s12872-022-02767-7.

Abstract

Background: Rumpel Leede sign (RLS) is a clinical presentation observed at the extremities due to pressure applied externally. The appearance ranges from scattered pin-point rashes to an entire arm covered with petechial hemorrhage depending upon the severity. This phenomenon is relatively uncommon in clinical practice.

Case presentation: A 64 year old female patient developed a rash in the normal skin area below the compression area on the second day of single catheter coronary angiography. The patient's rash resolved without treatment after 3 days.

Conclusions: We report a case of hypertension and hyperlipidemia with a petechial rash on the skin under the tourniquet compressed by the radial artery after coronary angiography, which is consistent with the Rumpel-Leede phenomenon. clinicians should be watchful of these symptoms.

Keywords: Clinical presentation; Coronary angiography; Rumpel-Leede sign.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Coronary Angiography / adverse effects
  • Exanthema* / complications
  • Female
  • Humans
  • Middle Aged
  • Purpura* / diagnosis
  • Purpura* / etiology
  • Radial Artery
  • Skin