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Recurrent Cellulitis Associated with Acupuncture with Migratory Gold Threads.

Hyun Jin Kang1, In Hye Choi1, Chul Jong Park1

  • 1Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Annals of Dermatology
|June 3, 2021
PubMed
Summary

Gold thread acupuncture, used for pain relief in Asia, can fragment and migrate. This case shows threads from the back migrating to the leg, causing inflammation and infection.

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Area of Science:

  • Dermatology
  • Integrative Medicine
  • Radiology

Background:

  • Gold thread acupuncture is a pain management technique prevalent in Asian countries.
  • Reports indicate potential complications including fragmentation and migration of implanted gold threads.
  • Such migration can lead to damage of surrounding tissues.

Observation:

  • A 75-year-old female presented with a 3-day history of right lower leg erythema, edema, and vesicles.
  • She had a history of cellulitis in the same area and prior gold thread acupuncture on her back for lumbar herniated nucleus pulposus (HNP) 10 years earlier.
  • Histopathology revealed subepithelial edema and perivascular inflammatory infiltrate; radiography showed radiodense threads in the leg soft tissue.

Findings:

  • The patient's symptoms were attributed to the migration of gold threads from the back to the leg via vascular pathways.
Keywords:
AcupunctureCellulitisGold thread

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  • These migrated metallic fragments likely induced an inflammatory reaction, increasing susceptibility to secondary infection.
  • The leg lesion showed improvement with systemic steroids and antibiotics.
  • Implications:

    • This case highlights a rare but serious complication of gold thread acupuncture, emphasizing the risk of foreign body migration.
    • Physicians should consider migrated foreign bodies in the differential diagnosis of unexplained inflammatory leg lesions, especially in patients with a history of such procedures.
    • Further research into the long-term safety and migration potential of gold threads is warranted.