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Diabetic Foot and Soft Tissue Necrosis Caused by Moxibustion Burn Injury
Journal of Korean Burn Society 2020;23(2):60-63
Published online December 1, 2020
© 2020 Journal of Korean Burn Society.

Song Hyun Han, M.D., Dong In Jo, M.D., Cheol Keun Kim, M.D. and Soon Heum Kim, M.D., Ph.D.

Department of Plastic and Reconstructive Surgery, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea
Correspondence to: Soon Heum Kim, Department of Plastic and Reconstructive Surgery, Konkuk University Chungju Hospital, Konkuk University School of Medicine, 82 Gugwon-daero, Chungju 27376, Korea
Tel: 82-43-840-8860, Fax: 82-43-840-9862
E-mail: plastics7@gmail.com
Received July 7, 2020; Revised September 22, 2020; Accepted October 7, 2020.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
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.
Keywords : Moxibustion, Burn, Diabetic foot


December 2020, 23 (2)
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