CASE REPORTS ON THE RÔLE OF LASER THERAPY IN THE TREATMENT OF TUBERCULOSIS OF THE LYMPH NODES.

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Tuberculosis of the lymph nodes is comparatively prevalent in India, and poses many problems in treatment, particularly due to the unpredictability of the response of the nodes to chemotherapy. Enlargement of the glands and growth of new glands during antituberculosis treatment (ATT) is not uncommon, with development of abscesses and sinuses undesirable side effects. The nodes may persist after the prescribed chemotherapeutic regimen, and may even reappear after surgical excision. The helium nein (HeNe) laser has been shown to be effective in wound healing, although the exact action mechanism and pathways are not yet completely clear. The authors decided to try HeNe laser therapy delivered subcutaneously over affected lymph nodes in patients who were experiencing problems despite existing chemotherapeutic regimens. A series of ten representative case reports is presented which demonstrate that HeNe laser therapy is an effective method for helping the physician deal with problematic tuberculous lymph nodes, either as a stand-alone therapy or as an adjunctive therapy concomitant with ATT. From the success in this limited series of patients, the authors conclude that further trials are definitely warranted, perhaps involving double-blind and crossover elements, to demonstrate the efficacy of HeNe laser therapy in a controlled trial environment.
国際光治療学会の論文