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Acupoint Catgut Embedding Therapy in Traditional Chinese Medicine for Managing Allergic Rhinitis
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Acupuncture, Shingles, and Allergen Immunotherapy.

David McMahon1, Sushma Kadiyala2, Irene M Estores1

  • 1Integrative Medicine Program and University of Florida Health, Gainsville, Florida, USA.

Medical Acupuncture
|January 3, 2022
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Summary

Acupuncture, a minor trauma, may trigger shingles reactivation in individuals undergoing allergen immunotherapy. This case highlights the potential link between acupuncture, immune activation, and Varicella-zoster virus (VZV) recurrence.

Keywords:
dermatologic conditionsmusculoskeletal painneurological disorders

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Area of Science:

  • Neurology
  • Immunology
  • Integrative Medicine

Background:

  • Varicella-zoster virus (VZV) establishes latency in dorsal root ganglia.
  • Reactivation can be incited by stress, trauma, illness, or immune decline.
  • Previous reports link acupuncture to VZV reactivation and shingles.

Observation:

  • A patient with a history of thyroid cancer and chronic neck pain underwent acupuncture.
  • Following acupuncture and an allergy shot, she developed acute Herpes zoster (shingles).
  • Treatment included acyclovir and topical Aloe vera, resulting in mild scarring without postherpetic neuralgia.

Findings:

  • Acupuncture represents a minor trauma that can potentially predispose patients to VZV reactivation.
  • Concurrent allergen immunotherapy may contribute to immune system activation, increasing shingles risk.
  • This case suggests a possible association between acupuncture, immunotherapy, and shingles.

Implications:

  • Clinicians should consider VZV reactivation risk in patients undergoing acupuncture, especially with concurrent immune challenges.
  • Further research is warranted to elucidate the mechanisms linking acupuncture, immunotherapy, and VZV reactivation.
  • Understanding these triggers can inform patient management and preventative strategies.