Table 3.
The Clinical Presentation, Intervention and Progress of Case B; Date 0 was the First Date of Consultation
| No of Tx | Date | Clinical presentation/intervention/outcome |
|---|---|---|
| 1 | 0 | Unable to blow the left cheek, close the left eyelid and raise the left eyebrow; history of SLE for over 20 years; on prednisolone 7.5 mg, azathioprine 75 mg, ramipril 10 mg and simvastatin 10 mg daily; MIRE therapy × 30 min; rotary break of O/C1 |
| 2 | 1 | Left corner of mouth slightly relaxed; MIRE therapy × 30 min |
| 3 | 3 | No obvious improvement; MIRE therapy × 30 min |
| 4 | 7 | Left corner of mouth more relaxed; no other improvement; MIRE therapy × 30 min |
| 5 | 8 | When smiling, the left corner of mouth moved slightly; MIRE therapy × 30 min |
| 6 | 10 | Increased ability to move the left corner of mouth; MIRE therapy × 40 min |
| 7 | 14 | Improvement in closure of left eyelid; MIRE therapy × 40 min |
| 8 | 17 | Slight improvement in closure of left eyelid; cheeks more even when puffing; left nasolabial fold became more obvious; MIRE therapy × 40 min |
| 9 | 21 | No significant improvement; MIRE therapy × 40 min |
| 10 | 31 | No improvement; MIRE therapy × 40 min |
| 11 | 38 | Better able to close the left eyelid; MIRE therapy × 40 min |
| 12 | 45 | Less deviation of mouth to left; left eyelid could close almost completely; MIRE therapy × 40 min |
| 13 | 52 | More dentition shown on the left when smiling; MIRE therapy × 40 min |
| 14 | 59 | Mild synkinesis evident; when closing the left eye, the left corner of mouth twitched; MIRE therapy × 40 min |
| 15 | 66 | No more improvement; MIRE therapy × 40 min |
| 16 | 73 | No improvement; mild skin rash on left face; MIRE therapy × 45 min |
| 17 | 80 | No improvement; MIRE therapy × 45 min |
| 18 | 94 | No significant improvement; MIRE therapy × 45 min |
| 19 | 101 | Improvement slow; left eyelid can close but not completely; could not raise the left eyebrow; MIRE therapy × 45 min |
| 20 | 108 | No significant improvement; MIRE therapy × 45 min |
| 21 | 115 | No significant improvement; MIRE therapy × 45 min |
| 22 | 122 | Slight improvement of left eyelid closure; more dentition shown when smiling; skin rash on the left face; MIRE therapy × 45 min |
| 23 | 129 | No significant improvement, steroid was prescribed by dermatologist to treat the skin rash; MIRE therapy × 45 min |
| 24 | 135 | No significant improvement; increased lacrimation of left eye; skin rash improved; MIRE therapy × 45 min |
| 25 | 142 | Slight relaxation of left corner of mouth for 2 days; still on steroid; MIRE therapy × 45 min |
| 26 | 149 | Slight relaxation of left corner of mouth; twitching of left corner of mouth when closing eyes; MIRE therapy × 45 min |
| 27 | 156 | Slight swelling of left eyelid; skin rash on left face; MIRE therapy × 45 min |
| 28 | 163 | Left eyebrow can be raised slightly; MIRE therapy × 45 min |
| 29 | 170 | Left eyebrow can be raised slightly; MIRE therapy × 45 min |
| 30 | 177 | Very little improvement; MIRE therapy × 45 min |
| 31 | 184 | Left eyelid could be closed more completely; SLE more serious, steroid dosage stepped up; MIRE therapy × 45 min |
| 32 | 191 | Could raise the left eyebrow more; open the left eye more; MIRE therapy × 45 min |
| 33 | 198 | Increase in left eye secretion; no other improvement; MIRE therapy × 45 min |
| 34 | 205 | Increase in left eye secretion; no other improvement; MIRE therapy × 45 min |
| 35 | 212 | Increase in left eye secretion; no other improvement; MIRE therapy × 45 min |
| 36 | 219 | Increase in left eye secretion; no other improvement; could not raise the left eyebrow completely; cheeks symmetrical when puffing; MIRE therapy × 45 min |
| 37 | 226 | Left eye secretion still present; no other improvement; MIRE therapy × 45 min |
| 38 | 240 | Left eye secretion still present; no other improvement; mouth less deviated to left; MIRE therapy × 45 min |
| 39 | 247 | Could not raise well the left eyebrow; could close the left eyelid more; Able to puff both cheeks symmetrically; MIRE therapy × 45 min |
| 40 | 254 | Could not raise well the left eyebrow; could close the left eyelid more; Able to puff both cheeks symmetrically; left eye secretion still present; improvement of 50%; MIRE therapy × 45 min |
| 41 | 261 | No further improvement; MIRE therapy × 45 min |
| 42 | 268 | No further improvement; MIRE therapy × 45 min |
| 43 | 275 | Could not raise the left eyebrow; left eyelid could be closed completely; able to puff both cheeks relatively symmetrically; chewed gum daily; MIRE therapy × 45 min |
| 44 | 282 | No further improvement; MIRE therapy × 45 min |
| 45 | 289 | Subjective rating: improvement of 50%; able to puff both cheeks relatively symmetrically; able to close the left eyelid; unable to raise the left eyebrow; mild synkinesis present (when closing the eyes, the left corner of the mouth twitched); MIRE therapy × 45 min |
MIRE, monochromatic infrared energy; SLE, systemic lupus erythematosus.