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Threading the Needle: A Case of Periorbital Gold Threading.

Colin P Froines1, Erin E Godbout2, Jennifer T Yu2

  • 1University of Washington School of Medicine, Seattle, Washington, U.S.A.

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Summary
This summary is machine-generated.

Gold threading, an aesthetic practice, is increasingly seen in Western settings and can be mistaken for susuk. This case highlights a delayed reaction to gold threading found during sinusitis evaluation.

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Area of Science:

  • Oculoplastic Surgery
  • Medical Aesthetics
  • Radiology

Background:

  • The aesthetic practice of gold threading is emerging in Western medical settings.
  • Periorbital gold threading may be misidentified as other procedures, such as the insertion of charm needles (susuk).
  • Accurate differentiation is crucial for appropriate patient management.

Observation:

  • A unique case of incidentally discovered periorbital gold threading during chronic sinusitis workup is presented.
  • A rare, delayed local site reaction to the gold threads was observed.
  • The clinical presentation and radiographic findings are detailed.

Findings:

  • Gold threading can present as a rare periorbital finding.
  • Misidentification with procedures like susuk insertion is a potential diagnostic challenge.
  • Delayed local reactions to gold threads can occur.

Implications:

  • Oculoplastic surgeons must be aware of gold threading as a differential diagnosis for periorbital findings.
  • Clinical and radiographic features are key to differentiating gold threading from susuk and other foreign bodies.
  • Recognition of this practice aids in correct diagnosis and management of related complications.