Balamurugesan Kandan, Viswanathan Stalin
Associate Professor, Department of General Medicine, Indira Gandhi Medical College , Kadhiramam, Pondicherry, India .
Assistant Professor, Department of General Medicine, Indira Gandhi Medical College , Kadhiramam, Pondicherry, India .
J Clin Diagn Res. 2014 Apr;8(4):YD01-2. doi: 10.7860/JCDR/2014/6574.4301. Epub 2014 Apr 15.
We are describing a 60-year-old hypertensive lady who developed Rumpel-Leede phenomenon following the use of a tourniquet to obtain a blood sample. History revealed that she was on amlodipine therapy and that spontaneous sun-exposure related purpura was often seen since amlodipine was prescribed. Examinations and investigations provided normal results. She refused consent for a skin biopsy. Symptoms resolved after its substitution with enalapril and dihydrochlorothiazide, without any further recurrence.
我们正在描述一位60岁的高血压女性,她在使用止血带采集血样后出现了舒-亨二氏现象。病史显示她正在接受氨氯地平治疗,自开了氨氯地平处方以来,经常出现与阳光暴露相关的自发性紫癜。检查和调查结果均正常。她拒绝同意进行皮肤活检。在用依那普利和氢氯噻嗪替代氨氯地平后症状消失,且未再复发。