Silikon /
Granulome und Akupunkturnadeln
AN 2002216800
AU Stebler FA
TI Granuloma due to acupuncture needles?. [German]
SO Arztezeitschrift fur Naturheilverfahren Vol 43(5) (pp 262+264) , 2002.
PT Publication Type: Journal: Note
DE Descriptors: *Granuloma/co [Complication];
*Acupuncture; *Needle;
Analgesia; Iatrogenic Disease/co [Complication]; Histopathology; Human; Major
Clinical Study; Human Tissue; Note
AN 12564354
AU Lao L, Hamilton GR, Fu J, Berman BM
TI Is acupuncture safe? A systematic review of case
reports. [Review] [140 refs]
IN
SO Alternative Therapies in Health &
Medicine. 2003 Jan-Feb;9(1):72-83
PT Publication Type: Journal Article; Review;
Review of Reported Cases; Review, Academic
AB OBJECTIVE: The greater acceptance of acupuncture by healthcare professionals and
the public has increased the importance of addressing public concern about its
safety. Of particular concern has been the potential for transmission of
infectious disease and organ and tissue injury, as well as the training and
professional standards of acupuncture
practitioners. This paper, therefore, addresses the following question: What is
the frequency and severity of adverse complications and events in acupuncture treatment? DATA SOURCES: All
first-hand case reports of complications and adverse effects of acupuncture that could be identified in the
English language literature were reviewed and classified according to type of
complication or adverse effect, circumstances of the event, credentials of the acupuncturist, country of occurrence, and
long-term patient outcome. STUDY SELECTION: The case reports were selected by a
search of 9 databases and covered the years between 1965-1999. DATA EXTRACTION:
Relevant papers were collected and analyzed by 2 reviewers. Over the 35 years,
202 incidents were identified in 98 relevant papers reported from 22 countries.
RESULTS: Types of complications included infections (primarily hepatitis from a
few practitioners), and organ, tissue, and nerve injury. Adverse effects
included cutaneous disorders, hypotension, fainting, and vomiting. There is a
trend toward fewer reported serious complications after 1988. CONCLUSIONS:
Declines in adverse reports may suggest that recent practices, such as clean needle techniques and more rigorous acupuncturist training requirements, have
reduced the risks associated with the procedure. Therefore, acupuncture performed by trained
practitioners using clean needle
techniques is a generally safe procedure. [References: 140]
DE Descriptors: 22452485; *Acupuncture Therapy/ae [Adverse Effects]; *Acupuncture Therapy/st [Standards]; Acupuncture Therapy/td [Trends]; Hepatitis/et [Etiology]; Human; Hypotension/et [Etiology]; Nausea/et [Etiology]; *Needlestick Injuries/pc [Prevention & Control]; Pain/et [Etiology]; Patient Satisfaction; Risk Factors; Skin Diseases/et [Etiology]; Support, Non-U.S. Gov't; Syncope/et [Etiology]; Vomiting/et
AN 2002117812
AU Hayhoe S, McCrossan M, Smith A, Ellis D, Croft S, Man FM
TI Single-use acupuncture needles: Scanning electron-microscopy of needle-tips.
IN S. Hayhoe, Pain Clinic, Anaesthetic Department, District General Hospital, Colchester; United Kingdom. E-Mail: simonhayhoe@doctors.org.uk.
SO Acupuncture in Medicine. Vol 20(1) (pp 11-18), 2002.
PT Publication Type: Journal: Article
AB Unselected, disposable acupuncture needles from various manufacturers and retail suppliers were taken from a pool of donated and bought samples. Three needles of each type were prepared for electron-microscopy. The needle tips were inspected at two magnifications (x39.37 and x612.5): 52 electron-micrographs were taken of 31 individual needles from 11 different types. No needle-tip looked perfect and significant faults were seen in most; some appeared seriously deformed. The faults noted were: scratch marks along or across the needle, metallic scuff, lumps and irregularities in the needle surface, needle-tip stubbed or malformed, and needle point off-centre. An additional test made was to wipe a number of needles firmly on white paper tissue. Some left grey lines, and these were regarded as evidence of metallic or oily residue from the needle surface which could have been deposited in the patient. These unexpected findings, in a variety of popularly used needles from well-respected suppliers, suggest that most manufacturers need to reassess their quality control procedures.
DE Descriptors: *Acupuncture; *Needle; *Scanning Electron Microscopy; Scratching; Surface Property; Paper; Quality Control; Medical Instrumentation; Article; Silicone
AN 2001416219
AU Alani RM, Busam K
TI Acupuncture granulomas.
IN Dr. R.M. Alani, Department of Oncology, Johns Hopkins Univ. Sch. of Med., 725 N Wolfe St, WBSB 620, Baltimore, MD 21205-2185; United States. E-Mail: ralani@bs.jhmi.edu.
SO Journal of the American Academy of Dermatology, Vol 45(6 SUPPL.) (pp s225-s226), 2001.
PT Publication Type: Journal: Article
AB Silicone compounds have recently been a source of controversy with regard to their potential role in the genesis of collagen vascular diseases. Foreign body reactions to injectable silicone were noted early in its cosmetic use and led to subsequent abandonment of this procedure. Here we report the first documented case of silicone granulomas to occur after acupuncture.
DE Descriptors: *Granuloma/co [Complication]; *Granuloma/di [Diagnosis]; *Granuloma/et [Etiology]; *Acupuncture; Ankle Sprain/th [Therapy]; Foreign Body; Injection Site; Punch Biopsy; Skin Biopsy; Transmission Electron Microscopy; Human; Female; Case Report; Human Tissue; Adult; Article; Priority Journal; *Silicone/to [Drug Toxicity]
AN 2000210981
AU Yanagihara M, Fujii T, Wakamatu N, Ishizaki H, Takehara T, Nawate K
TI Silicone granuloma on the entry points of acupuncture, venepuncture and surgical needles.
IN Dr. M. Yanagihara, Department of Dermatology, Kanazawa Medical University, 1-1 Daigaku, Uchinada-Machi, Kahoku-Gun, Ishikawa 920-0293; Japan.
SO Journal of Cutaneous Pathology. Vol 27(6) (pp 301-305), 2000.
PT Publication Type: Journal: Article
AB We describe a case of epithelioid granuloma on the entry points of needles used for acupuncture, venepuncture and for taking skin biopsy. The acupuncture needles used at each session were silicone coated. Silicon was detected in the vacuoles of macrophages and multiple nucleated giant cells by X-ray microanalysis. To our knowledge, this is the first case of silicone granuloma arising on the entry points of acupuncture, venepuncture and surgical needles. (C) Munksgaard 2000.
DE Descriptors: *Granuloma/di [Diagnosis]; Acupuncture; Vein Puncture; Needle; Skin Injury; Skin Biopsy; Cell Vacuole; Macrophage; Giant Cell; X Ray Microanalysis; Human; Female; Case Report; Human Tissue; Adult; Article; *Silicone
AN 1991183188
AU Chun SI, Cho SW
TI Silica granuloma: Scanning electron microscopy and energy dispersive X-ray microanalysis.
IN Department of Dermatology, Yonsei University College of Medicine, C.P.O. Box 8044, Seoul; South Korea.
SO Journal of Dermatology. Vol 18(2) (pp 92-96), 1991.
PT Publication Type: Journal: Article
AB A 46-year-old woman had 1-month-old erythematous papules on the left elbow and both knees where acupuncture with gold needles had been performed twenty years earlier. She also had a 2-month-old pruritic scar lesion on the nape. Histopathologic findings showed sarcoidal granulomas. The presence of silica components in the granulomas was confirmed by scanning electron microscopy (SEM) of the lesion on the nape and energy dispersive X-ray microanalysis (EDXA) of the lesions on the nape and the left elbow. We suggest that acupuncture with gold needles may be one cause of silica granuloma.
DE Descriptors: *Granuloma/di [Diagnosis]; *Granuloma/et [Etiology]; *Papule/di [Diagnosis]; *Papule/et [Etiology]; Acupuncture; Adult; Article; Case Report; Female; Histopathology; Human; Human Tissue; *Silicon Dioxide