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Ecchymosis: A Photo Essay: Page 5 of 8

Ecchymosis: A Photo Essay: Page 5 of 8

The distinct circular ecchymoses seen here were noted on the back of a 57-year-old Vietnamese woman who presented to the ED with worsening respiratory symptoms and fever. The lesions were found to be the result of cupping, a therapeutic maneuver used in alternative medicine and, in this case, by the patient's husband in attempt to relieve his wife's upper respiratory tract symptoms.

Bruising caused by "cupping"
Courtesy of Fawad Shaheen, MD.

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