Case(1):
Female , took Allopurinol to treat her Gout. She had mucosal and bullous lesions almost all over the body, with massive discharges .Following a diagnosis of Stevens-Johnson Syndrome she was admitted. Her wounds were treated with Aquacel , After 4 days most of the wounds were improving but the chest and axillary area still had major discharges. FIR was then used . after 3-4 days her wound condition improved .
Case(2):
Female,with systemic sclerosis history patient, she got thickening and induration of her both heels for one month. and an open wound of her both heels for one week , painful , much of discharge.
They were treated with Aquacel , and After 6 days the discharge of the wounds were decreasing but the wounds still the same at no signs of healing . FIR was then used locally . The wound condition improved after 6-8 days.
Case(3):
Female , with breast cancer history, After chemotherapy and radiotherapy . She suffered from skin wet desquamation with moderate amount of exudates almost all over her chest and back , Using Aquacel to treat the wound for 4 days , the wound was not improved but lager . FIR was then used locally .after 3-4 days her wound condition improved .
Conclusion:
FIR may be considered as an alternative therapy , it may decrease the need for antibiotic therapy , pharmaceuticals for pain and neuropathic management , frequency in clinician intervention , and product utilization .