Application of photodynamic therapy, laser therapy, and a cellulose membrane for calcaneal pressure ulcer treatment in a diabetic patient: A case report

Autor(es)

Rosa, Luciano Pereira ^{[1, 2]} ; da Silva, Francine Cristina ^{[1, 2]} ; Vieira, Regiane Lima ^{[2, 3]} ; Tanajura, Beatriz Rocha ^[2] ; da Silva Gusmao, Alana Goncalves ^[2] ; de Oliveira, Janeide Muritiba ^[2] ; Campanario dos Santos, Nathalia Aparecida ^[2] ; Bagnato, Vanderlei Salvador ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sao Carlos Inst Phys, Sao Carlos, SP - Brazil

^[2] Univ Fed Bahia, Multidisciplinary Hlth Inst, Vitoria Da Conquista, Bahia - Brazil

^[3] Coll Sci & Technol, Vitoria Da Conquista, BA - Brazil

• Tipo de documento: Artigo Científico
• Fonte: Photodiagnosis and Photodynamic Therapy; v. 19, p. 235-238, SEP 2017.
• Citações Web of Science: 4

Resumo

Diabetes mellitus is a metabolic disorder in which a person has high blood glucose levels due to inadequate insulin production by the pancreas. Wounds in these individuals cannot heal properly over time due to circulatory changes that hinder and stagnate the healing process. We report the case of an 82-year-old female type 2 diabetes mellitus carrier, presenting to clinical-dermatological examination pressure ulcer (PU) in the right calcaneus region. The patient was treated with photodynamic therapy using curcumin and blue light-emitting diodes (LEDs), laser therapy, and the application of a cellulose membrane in order to promote ulcer decontamination by local action, accelerate wound healing, and maintain favorable conditions of asepsis and moisture, respectively. The ulcer healing occurred after 30 days of treatment and total epithelialization was observed. From the results obtained in this case report, we conclude that the combination of photodynamic therapy, laser therapy, and coating with a cellulose membrane is a promising treatment for the healing of PU in diabetic patients. (AU)

• Processo FAPESP: 13/07276-1 - CEPOF - Centro de Pesquisa em Óptica e Fotônica
• Beneficiário: Vanderlei Salvador Bagnato
• Modalidade de apoio: Auxílio à Pesquisa - Centros de Pesquisa, Inovação e Difusão - CEPIDs