Eruptive Lichen Planus Triggered by Acupuncture

Department of Dermatology, King's College Hospital London, London SE5 9RS, England. .
Archives of dermatology (Impact Factor: 4.79). 03/2011; 147(3):361-2. DOI: 10.1001/archdermatol.2011.29
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Available from: Salvador J Diaz-Cano, Oct 02, 2015
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    • "Ten cases of adverse reactions from acupuncture were found (Table 10): three of syncope from two reports [100, 101]; two of galactorrhoea (spontaneous milk flow) [102, 103]; one of bilateral nystagmus [104]; one of pyoderma gangrenosum due to immune reaction, in which the tissue became necrotic and deep ulcers formed [105]; one of hepatotoxicity [106]; one of eruptive lichen planus [107]; one of spontaneous needle migration [108]. These unusual cases are uncommonly seen in regular acupuncture practice. "
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    ABSTRACT: Acupuncture, moxibustion, and cupping, important in traditional Eastern medicine, are increasingly used in the West. Their widening acceptance demands continual safety assessment. This review, a sequel to one our team published 10 years ago, is an evaluation of the frequency and severity of adverse events (AEs) reported for acupuncture, moxibustion, and cupping between 2000 and 2011. Relevant English-language reports in six databases were identified and assessed by two reviewers. During this 12-year period, 117 reports of 308 AEs from 25 countries and regions were associated with acupuncture (294 cases), moxibustion (4 cases), or cupping (10 cases). Country of occurrence, patient's sex and age, and outcome were extracted. Infections, mycobacterial, staphylococcal, and others, were the main complication of acupuncture. In the previous review, we found the main source of infection to be hepatitis, caused by reusable needles. In this review, we found the majority of infections to be bacterial, caused by skin contact at acupoint sites; we found no cases of hepatitis. Although the route of infection had changed, infections were still the major complication of acupuncture. Clearly, guidelines such as Clean Needle Technique must be followed in order to minimize acupuncture AEs.
    Evidence-based Complementary and Alternative Medicine 03/2013; 2013:581203. DOI:10.1155/2013/581203 · 1.88 Impact Factor