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뜸치료에 의한 화상으로 발생한 당뇨족 및 연부조직 괴사

Diabetic Foot and Soft Tissue Necrosis Caused by Moxibustion Burn Injury

  • 한송현 (건국대학교 의과대학 건국대학교충주병원 성형외과학교실) ;
  • 조동인 (건국대학교 의과대학 건국대학교충주병원 성형외과학교실) ;
  • 김철근 (건국대학교 의과대학 건국대학교충주병원 성형외과학교실) ;
  • 김순흠 (건국대학교 의과대학 건국대학교충주병원 성형외과학교실)
  • Han, Song Hyun (Department of Plastic and Reconstructive Surgery, Konkuk University Chungju Hospital, Konkuk University School of Medicine) ;
  • Jo, Dong In (Department of Plastic and Reconstructive Surgery, Konkuk University Chungju Hospital, Konkuk University School of Medicine) ;
  • Kim, Cheol Keun (Department of Plastic and Reconstructive Surgery, Konkuk University Chungju Hospital, Konkuk University School of Medicine) ;
  • Kim, Soon Heum (Department of Plastic and Reconstructive Surgery, Konkuk University Chungju Hospital, Konkuk University School of Medicine)
  • 투고 : 2020.07.07
  • 심사 : 2020.10.07
  • 발행 : 2020.12.31

초록

A 72-year-old man with diabetes, who underwent moxibustion, developed a foot wound but did not receive proper treatment. Examination showed a soft tissue defect (6×6 cm) on the dorsal aspect of the right foot with involvement of the first and second toes along with some phalangeal bone loss. The wound was treated with a skin graft and healed without complications. The right calf showed a raw surface (4×3 cm), which underwent epithelialization after conservative treatment. We observed four focal necrotic lesions (1.5×1.5 cm) on the right lower leg and anterior chest, which served as indicators of moxibustion, and debridement and primary closure were performed. Moxibustion is increasingly used as a therapeutic option; however, statistical data describing its adverse effects are limited. Moxibustion significantly increases skin temperature and can cause burn injuries. It is important to prevent moxibustion-induced adverse effects and avoid severe complications, particularly in patients with diabetes.

키워드

참고문헌

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