Live Bee Acupuncture (Bong-Chim) Dermatitis
Int J Dermatol, 2013 Dec;52(12):1519-24
Live bee acupuncture (Bong-Chim) dermatitis is an iatrogenic
disease induced by so-called live bee acupuncture therapy, which applies the
honeybee (Apis cerana) stinger directly into the lesion to treat various
diseases in Korea. We present two cases of live bee acupuncture dermatitis and
review previously published articles about this disease.
We classify this
entity into three stages: acute, subacute, and chronic. The acute stage is an
inflammatory reaction, such as anaphylaxis or urticaria. In the chronic stage,
a foreign body granuloma may develop from the remaining stingers, similar to
that of a bee sting reaction. However, in the subacute stage, unlike bee
stings, we see the characteristic histological "flame" figures
resulting from eosinophilic stimulation induced by excessive bee venom
exposure.
We consider this stage to be different from the adverse skin reaction
of accidental bee sting.
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