Photobiomodulation in Stevens-Johnson Syndrome in a Metastatic Breast Cancer: Case Report

• Autor(a) principal: Pinto e Silva, Marcela Ponzio
• Data de Publicação: 2023
• Outros Autores: Sunemi, Mariana Maia de Oliveira, Lenzi, Juliana, Amaral, Maria Teresa Pace do, Bassani, Mariana Almada
• Tipo de documento: Artigo
• Idioma: por; eng; spa
• Título da fonte: Revista Brasileira de Cancerologia (Online)
• Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/4148
• topic: síndrome de Stevens-Johnson; terapia com luz de baixa intensidade; neoplasias da mama; especialidade de fisioterapia; Stevens-Johnson syndrome; low-Level light therapy; breast neoplasms; physical therapy specialty; síndrome de Stevens-Johnson; terapia por luz de baja intensidad; neoplasias de la mama; especialidad de fisioterapia

Introduction: Stevens-Johnson syndrome is a rare but potentially fatal condition, which requires early diagnosis and treatment to ensure good prognosis. Due to the complexity of the syndrome and the lack of a standard wound care treatment, the use of photobiomodulation has been discussed. Case report: A 30-year-old woman with metastatic breast cancer and Stevens-Johnson and Li-Fraumeni Like syndromes using photobiomodulation as an adjuvant strategy in the treatment of pain and skin wounds. The erythematous cutaneous lesions involved almost the entire body surface with painful, scaly, crusted and bullous lesions with bleeding spots in the posterior region of both ears lobes and in the occipital region which made it difficult to accommodate the patient in lateral decubitus and in semi-recumbent position. Two photobiomodulation applications (red, with a wavelength of 660 nm) were performed, where lesions in the occipital region and ears were treated with a dose of 2 Joules per point and 4 Joules in the scapular region for pain relief (infrared, with a wavelength of 808 nm), followed by mobilization and myofascial release in the scapular region. In 48 hours, the cutaneous lesions reduced, and the pain improved, which facilitated the adequate and painless positioning in bed. After 15 physiotherapy sessions, the patient was discharged. Conclusion: Photobiomodulation has been shown to be effective in the complementary treatment of the acute phase of Stevens-Johnson Syndrome regarding tissue regeneration and analgesia.