(A) Several round identical purpuric lesions are seen on the back because of cupping that was used to relieve back pain. First- or second-degree burns may also be seen in cupping. The common sites are back, abdomen, and chest. (B) Close-up of purpura produced by cupping. (Photo contributor: Binita R. Shah, MD.) Source: Chapter 2. Conditions Mistaken for Child Abuse and Sexual Abuse, Atlas of Pediatric Emergency Medicine, 2e Citation: Shah BR, Lucchesi M, Amodio J, Silverberg M. Atlas of Pediatric Emergency Medicine, 2e; 2013 Available at: http://accesspediatrics.mhmedical.com/DownloadImage.aspx?image=/data/books/shah2/shah2_c002f006b.png&sec=42532643&BookID=577&ChapterSecID=42532488&imagename= Accessed: December 16, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved