Case Report
29/12/2015
Nooshafarin Kazemikhoo, Parvin Mansouri
Introduction:
Lupus is a chronic autoimmune illness characterized by production of autoantibodies against nuclear antigens. Lupus may also only appear as a skin disease. Discoid lupus erythematous (DLE), the most common form of chronic cutaneous lupus erythematous is characterized by patches of persistent erythema, adherent scaling, follicular plugging and, in the later stages scaring and atrophy.
Case Presentation:
The case was a 33-year-old female with two years history of DLE, who referred to the laser clinic of Milad hospital with acute flare of skin lesions since seven months ego. She had four lesions (three with local alopecia, scaling and itching and one with atrophy). Serological studies for antinuclear antibodies and anti Ro/SS-A antibody were negative. After five sessions of treatment with infrared (830 nm; 200 mw) and red light (630 nm; 20 mw) diode laser in addition to intravenous red light laser (655 nm; 2 mw) for 20 minutes and laser acupuncture with infrared diode laser (1 J/cm2 ) for six acupuncture points every other day, the beneficial effects started to appear, and after nine sessions, local itching of the lesions had stopped. Through a total of 27 sessions of treatment, the lesions improved completely with highly satisfactory results; and drug-therapy held to be continued. No disease flare up was seen after the one-year follow up.
Conclusions:
To the best of our knowledge, this is the first case report on low-level laser therapy (LLLT) treatment of DLE. Low-level laser therapy may be effective in treating inflammatory lesions such as cutaneous lesions of discoid lupus erythematous. More studies with higher sample size are needed to clarify the role of low level lasers in treating such lesions.
Review Article
18/6/2016
Mahdis Mojtabaee, Roshanak Mokaberinejad, Samira Adhami, Parvin Mansouri, Mohammadreza Rahbar
Background:
Melasma (called Kalaf in Iranian traditional medicine) is a common acquired hypermelanosis that affects sun-exposed areas of skin. Several factors including exposure to sunlight, pregnancy, and endocrine diseases increase the risk for Melasma. In traditional medicine, antecedent philosophers and physicians have tried to understand the nature and mechanisms of different systems of the human body for the diagnosis and management of Melasma; they have offered different solutions for it. This study is important since Melasma is a disease causing mental side effects in patients, due to darkness and opacity of the skin; therefore, the treatment of Melasma in terms of its psychological complications is of particular importance. In addition, texts on Iranian traditional medicine contain a wealth of nutritional advice for patients with Melasma. These texts have, until now, not yet been reviewed. The present study has considered the most important references of Iranian traditional medicine texts.
Objectives:
The objective of this study was to extract and categorize the nutritional advice of Iranian traditional medicine texts for the treatment of Melasma.
Results:
Dietary recommendations, not only for treatment but also for prevention of diseases and staying healthy, are very efficient.
Conclusions:
Based on the traditional medicine texts, it is helpful to avoid Soda-producing food as well as to identify appropriate food in order to eliminate the accumulation of Soda or black bile from the blood. This study offers a set of analytical and clinical research on food, which in traditional medicine is called Soda-producing as well as Soda reducing.
