Use of photobiomodulation in the treatment of toxic epidermal necrolysis in a pediatric patient: case report

To report an unusual case of toxic epidermal necrolysis treated with adjuvant photobiomodulation.

The patient presented blistering lesions affecting 90% of the body surface, with blistering lesions on the face, involvement of the conjunctival mucosa, trismus, prostration, and reduced diuresis. Initially, the patient underwent systemic treatment with medical support. Twenty-one days later, a dental evaluation was requested as there was no regression of oral lesions. Laser therapy sessions were performed with 2 J/point, an energy density of 66.66 J/cm? at four points: labial commissures, midline of the upper lip, and midline of the lower lip. On the seventeenth assessment, clinical improvement of facial and oral cavity lesions was observed, with the patient accepting an oral diet.

Photobiomodulation can be clinically effective in controlling pain and healing oral lesions, which may be an important factor contributing to the clinical improvement of the patient.