Self teaching module for the influence of culture and pigment on skin
conditions in children
James G. Dinulos, MD and Elinor A. Graham, MD, MPH
Harborview Medical Center, Seattle, WA
Spring 1999
Category 5: Skin Manifestations of Cultural Practices
Photo 36: Coining Technique
The lesions seen in coining are produced by rubbing a warm oil or Tiger
Balm on the skin and firmly abrading the skin with a coin or special
instrument as is illustrated in this photo. The lesions of coining should
not be confused with child abuse. Patients report variable degrees of
comfort with coining. Some describe it as soothing like a massage and
others as painful.
Go to Photo 37:
Circular Burns from Traditional
Healing
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Harborview Medical
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