Adjuvant Effect of Photobiomodulation in the Pain Relief and Healing of Ulcerative Lesions from Mammary Tuberculosis

Ellen da Silva Postgraduate Program in Biophotonics-Medicine, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil;
Francisco Moran Municipal Hospital of Barueri, São Paulo, Brazil;

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Rodrigo Labat Marcos Postgraduate Program in Biophotonics-Medicine, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil;

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Flávia Telles Marques Francisco Moran Municipal Hospital of Barueri, São Paulo, Brazil;

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Ellen Cristina Zamberlan Milan Francisco Moran Municipal Hospital of Barueri, São Paulo, Brazil;

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Flávia Roberta Nagano Francisco Moran Municipal Hospital of Barueri, São Paulo, Brazil;

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Edneia Siquiera Francisco Moran Municipal Hospital of Barueri, São Paulo, Brazil;

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Carolina Coelho Cunha Francisco Moran Municipal Hospital of Barueri, São Paulo, Brazil;

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Thomas Stravinskas Durigon Postgraduate Program in Biophotonics-Medicine, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil;
Francisco Moran Municipal Hospital of Barueri, São Paulo, Brazil;

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Anna Carolina Ratto Tempestini Horliana Postgraduate Program in Biophotonics-Medicine, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil;

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Sandra Kalil Bussadori Postgraduate Program in Biophotonics-Medicine, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil;
Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil

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Raquel Agnelli Mesquita-Ferrari Postgraduate Program in Biophotonics-Medicine, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil;
Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil

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Kristianne Porta Santos Fernandes Postgraduate Program in Biophotonics-Medicine, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil;

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Cinthya Cosme Gutierrez Duran Postgraduate Program in Biophotonics-Medicine, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil;

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ABSTRACT.

This case report describes the use of photobiomodulation (PBM) as a complementary therapy in a 45-year-old patient with mammary tuberculosis (TB). The patient received conventional treatment, including antibiotic therapy and analgesics. Three months after the diagnosis, breast pain persisted (Visual Analog Scale [VAS] score: 8), and the mammary lesions had not healed. Adjuvant treatment with PBM (660 nm and 808 nm lasers, 100 mW, 3,333 mW/cm2, 20 J per session) was performed over 12 sessions in 38 days. After four PBM sessions, the patient reported no pain (VAS score: 0) and stopped using analgesics. Complete healing of the mammary lesions was observed after 12 sessions. The use of PBM was associated with improvements in tissue repair, pain control, and healing of lesions resulting from mammary TB.

Author Notes

Financial support: This study was supported by the Coordination for the Improvement of Higher Education Personnel (PROEX 1294/2023) Postgraduate Program in Biophotonics Applied to Health Sciences/Biophotonics Medicine.

Disclosures: The methodology of this case study was approved by the Ethics Committee for Research in Humans at the Universidade Nove de Julho (6.573.751), and the patient consented to participate by signing an informed consent form.

Current contact information: Ellen da Silva, Rodrigo Labat Marcos, Thomas Stravinskas Durigon, Anna Carolina Ratto Tempestini Horliana, Sandra Kalil Bussadori, Raquel Agnelli Mesquita-Ferrari, Kristianne Porta Santos Fernandes, and Cinthya Cosme Gutierrez Duran, Postgraduate Program in Biophotonics-Medicine, Universidade Nove de Julho, São Paulo, Brazil, E-mails: ellendasilva.enf@gmail.com, labat@uni9.pro.br, thomas.durigon13@gmail.com, annacrth@gmail.com, sandra.skb@gmail.com, raquel.mesquita@gmail.com, kristianneporta@gmail.com, and cinthya.cgduran@gmail.com. Flávia Telles Marques, Ellen Cristina Zamberlan Milan, Flávia Roberta Nagano, Edneia Siquiera, and Carolina Coelho Cunha, Francisco Moran Municipal Hospital of Barueri, São Paulo, Brazil, E-mails: flavia.marques@hmb.spdm.org.br, ellen.milan@hmb.spdm.org.br, flavia.nagano@hmb.spdm.org.br, edneia.siqueira@hmb.spdm.org.br, and carolinacunha89@gmail.com.

Address correspondence to Cinthya Cosme Gutierrez Duran, Universidade Nove de Julho, Nove de Julho University, 235/249 Vergueiro St., 01525-000 São Paulo, Brazil. E-mail: cinthya.cgduran@gmail.com
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