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  • Kalava Induced Foreign Body Reaction - 2018 - Ymjd

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    Yilianeth Mena Daza
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    Kalava is a sacred Hindu thread tied around the forearm during religious ceremonies. Tying it too tightly can cause a foreign body reaction under the skin. The authors have seen cases in children where the Kalava induced swelling and pain within 2 weeks from being tied too tightly. In severe cases, the thread may penetrate the skin, leading to a foreign body reaction. Treatment involves removing any residual threads, applying topical antibiotics and corticosteroids, and sometimes systemic antibiotics. The swelling usually resolves within 2 weeks, but severe cases can result in scarring.

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    Kalava is a sacred Hindu thread tied around the forearm during religious ceremonies. Tying it too tightly can cause a foreign body reaction under the skin. The authors have seen cases in children where the Kalava induced swelling and pain within 2 weeks from being tied too tightly. In severe cases, the thread may penetrate the skin, leading to a foreign body reaction. Treatment involves removing any residual threads, applying topical antibiotics and corticosteroids, and sometimes systemic antibiotics. The swelling usually resolves within 2 weeks, but severe cases can result in scarring.

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    7 views2 pages

    Kalava Induced Foreign Body Reaction - 2018 - Ymjd

    Uploaded by

    Yilianeth Mena Daza
    Kalava is a sacred Hindu thread tied around the forearm during religious ceremonies. Tying it too tightly can cause a foreign body reaction under the skin. The authors have seen cases in children where the Kalava induced swelling and pain within 2 weeks from being tied too tightly. In severe cases, the thread may penetrate the skin, leading to a foreign body reaction. Treatment involves removing any residual threads, applying topical antibiotics and corticosteroids, and sometimes systemic antibiotics. The swelling usually resolves within 2 weeks, but severe cases can result in scarring.

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    of 2

    JAAD ONLINE: NOTES & COMMENTS

    Kalava-induced foreign body to avoid any pressure or friction on the underly-


    reaction ing skin. Recently we have come across cases of
    To the Editor: We read with great interest the tightly tied Kalava inducing a foreign body reac-
    articles by Vashi et al1,2 highlighting the dermato- tion among children. There is usually a history of
    ses caused by various cultural practices. Kalava being tied too tightly in these cases and
    Dermatoses occurring as a result of various cul- because of religious reasons parents do not untie
    tural and religious practices are quite common it. In such cases, swelling and pain typically
    among Indian patients.1,2 We take this opportunity develop at the site within 2 weeks. Sometimes,
    to discuss a common Hindu practice and its rare the threads of Kalava may even penetrate the
    dermatologic implication. inflamed skin leading to the foreign body
    Kalava is a sacred Hindu thread tied circum- reaction at that site (Fig 2). Management
    ferentially across the forearm just proximal to the includes removal of any residual thread in the
    wrist joint during religious and cultural cere- swelling, a topical antibiotic, and a topical
    monies (Fig 1). Usually it is tied loose enough corticosteroid. Systemic antibiotics may be

    Fig 1. Kalava is tied just proximal to the wrist joint.

    Fig 2. Foreign body reaction in circumferential fashion on the ventral (A) and dorsal (B) aspect
    of the forearm.

    J AM ACAD DERMATOL JANUARY 2019 e9


    e10 Notes & Comments J AM ACAD DERMATOL
    JANUARY 2019

    required in special circumstances. The swelling Correspondence to: Deepak Jakhar, MD, H no. 82,
    usually subsides within 2 weeks. Severe cases V.P.O Goyla Khurd, New Delhi, 110071, India
    may result in scarring.
    E-mail: dr.deepakjakhar@yahoo.in
    Rachita Misri, MD, Deepak Jakhar, MD, Rakesh
    Gupta, MD, and Smriti Kumar, MBBS
    REFERENCES
    Department of Dermatology and Sexually Trans- 1. Vashi NA, Patzelt N, Wirya S, Maymone MBC, Zancanaro P,
    mitted Disease, North Delhi Municipal Corpora- Kundu RV. Dermatosescaused by cultural practices: therapeutic
    tion Medical College and Hindu Rao Hospital, cultural practices. J Am Acad Dermatol. 2018;79:1-16.
    New Delhi, India 2. Vashi NA, Patzelt N, Wirya S, Maymone MBC, Kundu RV.
    Dermatoses caused by cultural practices: cosmetic cultural
    Funding sources: None. practices. J Am Acad Dermatol. 2018;79:19-30.

    Conflicts of interest: None disclosed. https://doi.org/10.1016/j.jaad.2018.07.063

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