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Saturday, 30 November 2013

Is pneumothorax after acupuncture so uncommon?

Acupuncture is one of the most widely used forms of traditional Chinese medicine often referred to as alternative therapy in the Western World and over the past decades it has become increasingly popular in Denmark. Pneumothorax is known as the most common serious complication following acupuncture, but it is quite rarely reported. During a three-month period two patients with pneumothorax caused by acupuncture were admitted to our department. The purpose of this case report is to increase awareness of this complication, which may not be so uncommon.

Acupuncture is considered an alternative medical therapy which has gained increasing popularity in treatment of various conditions in the Western World including Denmark over the past two decades (1). Although acupuncture is used for a large variety of disorders, the evidence base of clinical efficacy is essentially limited to back and neck pain, assisted conception, idiopathic headache, and nausea/vomiting whether induced by chemotherapy or in a postoperative setting (2). The widespread use of acupuncture has increased the need for valid information on safety issues. Serious and potentially life-threatening acupuncture-related complications are very rarely reported but include transmission of infections, pneumothorax, cardiovascular lesions, and haemorrhage or haematomas including the central nervous system (3).
Within a few months two patients were admitted to our department with pneumothorax following acupuncture, which prompted us to prepare a case report speculating that this serious complication may be under-reported.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3755677/

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