Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 8 2 2022 04 10 174 175 Naskar Snigdha Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Rishikesh, India. Pantragam Hareesh Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Rishikesh, India. Vijay Adabala Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Rishikesh, India. Mridul Dhar Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Rishikesh, India. 2021 11 12 2021 12 21 Rumpel Leede sign(RL sign)  is characterized by the presence 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 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. https://aacc.tums.ac.ir/index.php/aacc/article/view/432