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Table of Contents   
LETTER TO THE EDITOR  
Year : 2017  |  Volume : 10  |  Issue : 4  |  Page : 1076
Skin lesion from a traditional Cambodian treatment “koah kshal”: An example of clinical manifestation relating to local public health system


1 KMT Primary Care Center, Bangkok, Thailand
2 Hainan Medical University, Hainan, China

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Date of Web Publication5-Oct-2017
 

How to cite this article:
Yasri S, Wiwanitkit V. Skin lesion from a traditional Cambodian treatment “koah kshal”: An example of clinical manifestation relating to local public health system. Ann Trop Med Public Health 2017;10:1076

How to cite this URL:
Yasri S, Wiwanitkit V. Skin lesion from a traditional Cambodian treatment “koah kshal”: An example of clinical manifestation relating to local public health system. Ann Trop Med Public Health [serial online] 2017 [cited 2019 Sep 17];10:1076. Available from: http://www.atmph.org/text.asp?2017/10/4/1076/196684


Dear Sir,

The local public health system is very important, since it is usually rooted in the present community. Often, the local people in the rural community usually use the local public health care for management of the illness, and this has to be learnt by practitioner to successfully manage the public health problem in local community. It is important to reveal “attitudes towards traditional and modern medicine, resp. and some understanding of ideas of the rural population on the 'etiology' of some diseases.”[1] Sometimes, the traditional treatment can result in an aberrant clinical manifestation that might missed to be diagnosed if one does not recognize it. Here, the authors report an interesting clinical feature of unusual skin appearance due to a traditional Cambodian treatment namely “koah kshal” [see [Figure 1]. This seems looks like a hemorrhagic lesion and can missed to be interpreted as a forensic case. The local belief is to use a coin to scratch at the skin for allowing the “toxin” in the body to come out. This traditional treatment has been performed for many hundreds of years. This practice is widely practice in Indochina. In fact, the similar situation is seen in Chinese local public health system. The treatment namely Gua-Sha can cause similar skin lesion and is usually missed to be diagnosed by the Western physicians.[2],[3]
Figure 1: Skin appearance

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Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Schneider P, Shewangizaw E, Tayé E, Gebrehiwot T, Worku S, Oppermann J, et al. Traditional medicine in Ethiopia in childhood diseases. Kinderarztl Prax 1989;57:393-9.  Back to cited text no. 1
    
2.
Aprile A, Pomara C, Turillazzi E. Gua Sha a traditional Chinese healing technique that could mimick physical abuse: A potential issue with forensic implications. A case study. Forensic Sci Int 2015;249:e19-20.  Back to cited text no. 2
[PUBMED]    
3.
Allen SA, Janjua M, Badshah A. An unusual pattern of ecchymosis related to Gua Sha. Wien Klin Wochenschr 2009;121:684.  Back to cited text no. 3
[PUBMED]    

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Correspondence Address:
Sora Yasri
Sora Yasri, KMT Primary Care Center, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.196684

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