Rumpel Leede Phenomenon: Once in a Blue Moon Sign

Rumpel Leede sign(RL sign) is characterized by the presence WATCHES of a petechial rash that results from acute dermal capillary rupture.It was documented in literature quite often and it is associated with conditions like hypertension, diabetes, chronic steroid use, secondary to autoimmune disorders, mechanical trauma, thrombocytopenia and in patients Tack Sets taking antiplatelet drugs.we would like to report a case where we noted RL sign in patient where none of the above mentioned risk factors are present.