eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2021-06-08 9 10 495 498 10.12691/ajmcr-9-10-4 AJMCR20219104 article Pramod Theetha Kariyanna 1 Amog Jayarangaiah 2 David D. Song 2 Apoorva Jayarangaiah 3 Sushruth Das 3 Ashkan Tadayoni 4 Samy I. McFarlane Smcfarlane@downstte.edu 4 ivision of Interventional Cardiology, Mount Sinai Heart, Icahn School of Medicine at Mount Sinai Morningside/Beth Israel Hospitals, New York City, NY-10025, U.S.A. Trinity School of Medicine, 925 Woodstock Road, Roswell, GA 30075, U.S.A. Division of Hematology-Oncology, Department of Internal Medicine, Albert Einstein College of medicine/ Jacobi Medical Center, Bronx, N.Y.-10461, U.S.A. Rumpel - Leede phenomenon (RLP) was described as early 1909 by Theodore Rumpel and by Stockbridge Leede in 1911 in patients suffering from scarlet fever. Acute development of petechial rashes distal to the application of blood flow occlusive devices such as a blood pressure cuff or tight wrapped bandage, is a typical finding in this phenomenon. Multiple isolated cases of RLP associated with coronary angiogram have been reported. In this report, we present a case of a 53-year-old male who developed RLP after percutaneous intervention of the proximal-mid left anterior descending artery after application of a sphygmomanometer cuff to contain a right forearm hematoma and application of a trans-radial band. We here discuss the etiopathogenesis and management of RLP that develops post coronary angiogram. http://pubs.sciepub.com/ajmcr/9/10/4/ajmcr-9-10-4.pdf Rumpel - Leede phenomenon coronary angiogram Ulnar Artery Catheterization petechial rash TR band forearm hematoma