PMC7260630_01
First clinical observation of ulcerative lesions on the right leg.
CRIM2020-7428472.001.jpg
PMC7260630_01_CRIM2020-7428472.001.jpg
fig1
During the visit, the doctor noticed, probably due to the itchy skin, the presence of painful ulcerative lesions (the biggest one of 1 cm diameter) on the lowest part of the right leg (Figure 1), which the patient described as appeared for at least 3 weeks.
The device used for the treatment of the case, B-Cure Laser Pro (Erika Carmel, Haifa, Israel), emitting in the infrared spectrum (808 nm).
CRIM2020-7428472.002.jpg
PMC7260630_01_CRIM2020-7428472.002.jpg
fig2
This device (Figure 2) emits in the infrared spectrum (808 nm) with a green LED aiming beam indicating the irradiation area, which is an elliptic shape with the two axes measuring 45 and 10 mm for a total surface of 4.5 cm2.
At-home application of laser B-Cure on ulcerative lesion: a simple transparent plastic bag was used to wrap the laser and to maintain sterility.
CRIM2020-7428472.003.jpg
PMC7260630_01_CRIM2020-7428472.003.jpg
fig3
Treatment was daily performed for 2 sessions of 15 minutes (total fluence 48 J/cm2) by cutaneous application (Figure 3); after a week of treatment, the smallest ulcers (upper and right lower) dried and crusted (Figure 4) and the largest one (lower) had a significant improvement.
Clinical appearance after a week of treatment: the smallest ulcers (upper and right lower) dried and crusted, and the largest one (lower) achieved a significant improvement.
CRIM2020-7428472.004.jpg
PMC7260630_01_CRIM2020-7428472.004.jpg
fig4
Treatment was daily performed for 2 sessions of 15 minutes (total fluence 48 J/cm2) by cutaneous application (Figure 3); after a week of treatment, the smallest ulcers (upper and right lower) dried and crusted (Figure 4) and the largest one (lower) had a significant improvement.
Complete healing of all the lesions after 30 days of the laser treatment.
CRIM2020-7428472.005.jpg
PMC7260630_01_CRIM2020-7428472.005.jpg
fig5
Finally, all the ulcers got completed healed after 30 days of treatment (Figure 5).