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Novel treatment (new drug/intervention; established drug/procedure in new situation)
Closure of non-healing chronic ulcer in Klippel–Trenaunay syndrome using low-level laser therapy
  1. Snehil Dixit1,
  2. Arun G Maiya1,
  3. Shashikiran Umakanth2,
  4. Barkur A Shastry3
  1. 1Department of Physiotherapy, MCOAHS, Manipal University, Karnataka, India
  2. 2Department of Medicine, TMA Pai, Manipal University, Karnataka, India
  3. 3Department of Medicine, Kasturba Hospital, Manipal University, Karnataka, India
  1. Correspondence to Snehil Dixit, snehildixit83{at}

A 69-year-old man diagnosed with Klippel–Trenaunay syndrome (KTS) reported to the physiotherapy outpatient clinic with the complaint of a non-healing ulcer over the right medial malleolus, for a 6-month duration, that was non-granulating and had moderate pus discharge with foul odour at initial assessment. There was a decrease in scores of the Pressure Ulcer Scale of Healing, a significant increase in granulation tissue, a decrease in the amount of discharge and foul odour along with complete closure of the chronic wound after irradiation with a light-emitting diode (LED). This is a novel case study analysing the possible effect of a helium–neon laser  and LEDs on non-healing chronic ulcers associated with KTS, where the complete closure of the chronic ulcer that was initially not responsive to standard medical care was observed.

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  • Competing interests None.

  • Patient consent Obtained.

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