A Case of Rumpel-Leede Phenomenon in Ulnar Artery Catheterization

Pramod Theetha Kariyanna¹, Amog Jayarangaiah², David D. Song¹, Apoorva Jayarangaiah³, Sushruth Das², Ashkan Tadayoni⁴ and Samy I. McFarlane^4,

¹ivision of Interventional Cardiology, Mount Sinai Heart, Icahn School of Medicine at Mount Sinai

²Morningside/Beth Israel Hospitals, New York City, NY-10025, U.S.A.

³Trinity School of Medicine, 925 Woodstock Road, Roswell, GA 30075, U.S.A.

⁴Division of Hematology-Oncology, Department of Internal Medicine, Albert Einstein College of medicine/ Jacobi Medical Center, Bronx, N.Y.-10461, U.S.A.

Cite this paper:
Pramod Theetha Kariyanna, Amog Jayarangaiah, David D. Song, Apoorva Jayarangaiah, Sushruth Das, Ashkan Tadayoni and Samy I. McFarlane. A Case of Rumpel-Leede Phenomenon in Ulnar Artery Catheterization. American Journal of Medical Case Reports. 2021; 9(10):495-498. doi: 10.12691/ajmcr-9-10-4

Abstract

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.

Keywords:
Rumpel - Leede phenomenon coronary angiogram Ulnar Artery Catheterization petechial rash TR band forearm hematoma

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