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November 1972

Koebner Phenomenon Following Acupuncture

Author Affiliations

San Francisco

Arch Dermatol. 1972;106(5):767. doi:10.1001/archderm.1972.01620140101033

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To the Editor.—  The cover of the June 1972 issue of the Archives further accentuates that the current "in" word is acupuncture.Probably more medical and lay press articles are being written now regarding this age-old technique than in the past 2,000 years. It follows, therefore, that the procedure itself will soon become more common. For this reason, I should like to report an interesting observation, which some other dermatologists may soon see.

Report of a Case  A 23-year-old oriental woman consulted me in mid-May because of a rash involving her back, elbows, and legs, which began a month before and was progressing. She claimed the eruption was nonpruritic and nonpainful but was cosmetically unacceptable.Examination revealed guttate, scaling, erythematous plaques which tended to be circular and measured between 2.0 and 4.0 cm. An "augensblick" diagnosis, easily made by any dermatologist, was guttate psoriasis. However, the pattern of the eruption

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