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Images in Clinical Medicine
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Volume 332:1552 June 8, 1995 Number 23
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Coining

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Figure 1.


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Figure 1. Linear microecchymoses, produced by rubbing the edge of a coin on the skin, are visible on a 33-year-old Vietnamese man who had been using this traditional Southeast Asian treatment unsuccessfully for recurrent migraine headaches. The erythematous stripes usually disappear after one to two weeks, but hyperpigmentation may persist. The lesions from this home remedy should not be mistaken for a manifestation of abuse.

 


Charles E. Crutchfield, III, M.D.
Gundersen Clinic
La Crosse, WI 54601


Thomas J. Bisig, M.D.
Mayo Clinic
Rochester, MN 55905




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