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10.25259/JSSTD_53_2021
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Lichen planus occurring as Koebner phenomenon at the site of “cupping”

Department of Dermatology, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India
Corresponding author: David Pudukadan, Department of Dermatology, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India. davidpudukadan@gmail.com
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This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Pudukadan D. Lichen planus occurring as Koebner phenomenon at the site of “cupping.” J Skin Sex Transm Dis, doi: 10.25259/JSSTD_53_2021

A 50-year-old man presented with multiple, purple colored, flat topped, papules and plaques of lichen planus over left shoulder and back of trunk of two weeks duration [Figure 1]. He gave a history of receiving “cupping therapy” at these sites one month ago for lichen planus (of hands and feet). Small incisions were made on the skin before cupping.

Figure 1:: multiple, purple colored, flat topped, papules and plaques of lichen planus at the site of “cupping.”

Cupping (Hijama in arabic) is a treatment modality in alternative medicine, practised in many countries. The treatment induces a suction effect at the site of application of the cup. Making small incisions before cupping is a modification practiced by some. Koebnerization, can explain the eruption of lesions of lichen planus at the sites of “cupping.”

Acknowledgment

The author would like to express sincere gratitude to Dr. Feroze Kaliyadan (Faculty of medicine (Dermatology), College of Medicine, King Faisal University, Kingdom of Saudi Arabia) for his guidance.

Declaration of patient consent

Patient’s consent not required as patients identity is not disclosed or compromised.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.


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