2 0 1 6;3 8(2):101104
Revista Espaola de
Ciruga Oral y
Maxilofacial
www.elsevier.es/recom
Clinical report
a r t i c l e i n f o a b s t r a c t
Article history: Behcets disease (BD) is a multi-systemic vascular disorder characterized by oral and genital
Received 20 March 2014 ulcers, cutaneous, ocular, arthritic, vascular, central nervous system and gastrointestinal
Accepted 19 May 2014 involvement. It usually affects young adults and the etiopathogenesis is unknown. A 21-
Available online 20 November 2014 year-old girl, Caucasian, with diagnostic BD, presented with rheumatoid arthritis, genital
lesions and multiple recurrent ulcers inside the mouth, with an erythematous halo, cov-
Keywords: ered by yellowish exudates exacerbated during menstrual periods, and in situations of
Behcets syndrome stress and anxiety. The application of low power laser in ulcers was considered in order to
Oral ulcer decrease the inflammatory symptoms and pain, beyond getting the healing process acceler-
Low-level laser therapy ated. The proposed therapy was able to promote pain relief, increase local microcirculation
and repair ulcerated lesions, eliminating the need for administration of systemic or topical
medications, leading to improved quality of life.
2014 SECOM. Published by Elsevier Espaa, S.L.U. This is an open access article under
the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
r e s u m e n
Palabras clave: La enfermedad de Behcet (EB) es un trastorno vascular multisistmico caracterizado por
Enfermedad de Behcet lceras orales y genitales, cutneas, oculares, artritis, vascular, sistema nervioso central
lceras bucales y afectacin gastrointestinal. Afecta a los adultos jvenes y la etiopatogenia es descono-
Tratamiento por lser de baja cida. Una paciente de 21 anos de edad, caucsica, diagnosticada de EB, artritis reumatoide,
intensidad lesiones genitales y mltiples lceras recurrentes dentro de la boca, con un halo eritem-
atoso, cubiertas por exudado amarillento exacerbadas durante los perodos menstruales y
en situaciones de estrs y ansiedad. Se considera el tratamiento con lser de baja poten-
cia en las lceras con el fin de disminuir los sntomas inflamatorios y de dolor, ms all
de lograr la aceleracin del proceso de regeneracin. El tratamiento propuesto fue capaz
de proporcionar el alivio del dolor, aumentar la microcirculacin local y reparar las lesiones
Corresponding author.
E-mail addresses: kekeodonto@gmail.com, kekeodonto@yahoo.com.br (K.C.T. Marinho).
http://dx.doi.org/10.1016/j.maxilo.2014.05.001
1130-0558/ 2014 SECOM. Published by Elsevier Espaa, S.L.U. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
102 r e v e s p c i r o r a l m a x i l o f a c . 2 0 1 6;3 8(2):101104
Introduction
Fig. 2 (ad) Application of low power laser (GaAlAS) in each clinical lesion.
Conclusion
Ethical disclosures
and rheumatoid factor <20. Considering the stories and labo- Right to privacy and informed consent. The authors have
ratory data, the physician prescribed prednisone 20 mg/day for obtained the written informed consent of the patients or sub-
15 days and maintenance of 15 mg/day. Complete regression of jects mentioned in the article. The corresponding author is in
the lesions previously reported was noted, with disappearance possession of this document.
of all preexisting symptoms. Now she is under observation.
Ethical approval
Discussion
The case report was approved by the Ethics Committee of
Behcets disease (BD) is a chronic inflammatory vascular disor- Paulista University (643/09). Written informed consent was
der characterized by genital and oral recurrent ulcers, ocular, obtained from the patient for publication of this Case report
arthritic, cutaneous, blood vessels and central nervous system and any accompanying images.
involvement.15
The International Study Group for Behcet7 preconizes
recurrent oral ulcerations added to two ocular, cutaneous or Conflicts of interests
genital expressions or rheumatoid arthritis.1,6,9,10
The patient presented with rheumatoid arthritis, genital The authors declare that they have no conflicts of interests.
lesions and multiple recurrent ulcers inside the mouth, with
an erythematous halo, covered by yellowish exudates exacer-
bated during menstrual periods, and in situations of stress and
Funding
anxiety being in agreement with The International Criteria for
Behcets Disease. The manuscript has no external financial support.
104 r e v e s p c i r o r a l m a x i l o f a c . 2 0 1 6;3 8(2):101104
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