Venous leg ulcer after acupuncture treatment

Summary

In this case report we describe a 64-year-old female patient who developed a chronic ulcer on the right dorsomedial lower leg after acupuncture treatment for osteoarthritis of her right knee. Duplex ultrasound revealed insufficiency of the short saphenous veins (SSV) in both legs and a periulcerous varicose tributary of the right SSV. Since the patient refused surgical treatment, foam sclerotherapy of the periulcerous varicosis was undertaken. This resulted in complete healing of the ulceration within 12 weeks.

Keywords

Wound healing - leg ulcer - acupuncture

• References

• 1 Lorenz MB, Gkogkolou P, Görge T. Sklerotherapie der Varikosis in der Dermatologie. Dtsch Dermatol Ges 2014; 12: 391-394.
• 2 Foell J. Acupuncture as add-on treatment in the management of a patient with ecthyma gangrenosum. Acupunct Med 2012; 30: 60-62.
• 3 Mears T. Acupuncture for chronic venous ulceration. Acupunct Med 2003; 21: 150-152.
• 4 Kashiba H, Ueda Y. Acupuncture to the skin induces release of substance P and calcitonin gene-related peptide from peripheral terminals of primary sensory neurons in the rat. Am J Chin Med 1991; 19: 189-197.
• 5 Vas J, Modesto M, Mendez C, Perea-Milla E, Aguilar I, Carrasco-Lozano JM. et al. Effectiveness of acupuncture, special dressings and simple, low-adherence dressings for healing venous leg ulcers in primary healthcare: study protocol for a cluster-randomized open-labeled trial. BMC Complement Altern Med 2008; 8: 29
• 6 Zhang QH, Yue JH, Sun ZR. Electroacupuncture for pressure ulcer: a study protocol for a randomized controlled pilot trial. Trials 2014; 15: 7
• 7 Teo LH, Tang MB, Tan AW, Tan HH, Ng SK. Ulcers related to acupuncture and traditional chinese medicine: a case series and review of the literature. Arch Dermatol 2009; 145: 490-492.
• 8 Shai A, Halevy S. Direct triggers for ulceration in patients with venous insufficiency. Int J Dermatol 2005; 44: 1006-1009.