Case 22

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A 6-year-old girl, being evaluated for a well child appointment, is noted to have these marks on her back. She was born in Africa and her family now lives locally after emigrating as refugees. These lesions are non-painful and the family indicates that she developed them while being treated for an illness as an infant.

Picture of child's back. Full description below
Photo courtesy of Terri Morse, FNP, Upstate Golisano Children’s Hospital

Accessible Version

A photo of a back with 8 hyperpigmented oval areas that are in a regular pattern along the spine and on either side, each larger than the size of a thumb.

What is the most likely cause of these healed scars?

A. Cigarette burns

B. Cupping

C. Moxibustion

D. Coining