LAight Therapy is an Effective and Gentle Treatment in Adolescents Suffering from Hidradenitis Suppurative: Results from 96 Patients Using Real-world Data
DOI:
https://doi.org/10.2340/actadv.v105.43543Keywords:
adolescence, paediatric, hidradenitis suppurativa, device-based therapy, side-effects, LAight therapyAbstract
Hidradenitis suppurativa (HS) is a chronic skin condition characterized by the formation of painful nodules, abscesses, and tunnels, typically in intertriginous areas. While HS primarily affects adults, it causes in particular severe distress when it affects adolescent patients. Physicians prefer to avoid the use of systemic medications and surgery in children due to the potential side effects, psychological burden, and long-term consequences. The device-based LAight® therapy combines intense pulsed light and radiofrequency and received EU-wide approval in 2017 for the treatment of adults with all severities of HS. Since 2017, 96 adolescent patients in Germany and Austria have been treated off-label with LAight. A mixed model for repeated measures over 36 weeks on the endpoints Hidradenitis Suppurativa Severity Score System (IHS4), NRS Pain, and Dermatology Life Quality Index (DLQI) showed that patients starting treatment with a high burden significantly benefited from treatment, while those starting with a low burden could be effectively stabilized at a low level. HS and its management can cause considerable stress and anxiety for children and their families. Gentle and well-tolerated treatments, such as LAight therapy, can contribute to a more positive experience for patients and consequently improve their quality of life.
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Cotton CH, Chen SX, Hussain SH, Lara-Corrales I, Zaenglein AL. Hidradenitis suppurativa in pediatric patients. Pediatrics 2023; 151: e2022061049. DOI: https://doi.org/10.1542/peds.2022-061049
Lyons AB, Townsend SM, Turk D, Narla S, Baah N, Hamzavi IH. Laser and light-based treatment modalities for the management of hidradenitis suppurativa. Am J Clin Dermatol 2019; 21: 237–243. DOI: https://doi.org/10.1007/s40257-019-00491-1
Nikolakis G, von Stebut E. Lokale und neue apparative Therapien der milden Hidradenitis suppurativa. Hautarzt 2021; 72: 676–685. DOI: https://doi.org/10.1007/s00105-021-04849-7
Willems D, Hinzpeter EL, Van der Zee HH, Sayed CJ, Ingram JR, Beaudart C, et al. Patient preferences in the management of hidradenitis suppurativa: results of a multinational discrete choice experiment in Europe. Patient 2023; 16: 153–164. DOI: https://doi.org/10.1007/s40271-022-00614-7
Zouboulis CC, Bechara FG, Fritz K, Goebeler M, Hetzer FH, Just E, et al. S2k Guideline for the Treatment of Hidradenitis Suppurativa/Acne Inversa – Short Version. J Dtsch Dermatol Ges 2024; 22: 868–889. DOI: https://doi.org/10.1111/ddg.15412
Zimmer S, Basien K, von Stebut E. Einfluss der LAight-Therapie auf die Versorgung der Acne inversa. Hautarzt 2021; 72: 586–594. DOI: https://doi.org/10.1007/s00105-021-04843-z
Strobel A, Schultheis M, Staubach P, Grabbe S, Mann C, Hennig K, et al. Real-world effectiveness and safety of the LAight-therapy in patients with hidradenitis suppurativa. J Dtsch Dermatol Ges 2024; 22: 936–945. DOI: https://doi.org/10.1111/ddg.15403
Masson R, Parvathala N, Ma E, Shih T, Atluri S, Sayed CJ, et al. Efficacy of procedural treatments for pediatric hidradenitis suppurativa: a systematic review. Pediatr Dermatol 2023; 40: 595–605. DOI: https://doi.org/10.1111/pde.15331
Kittler NW, Williams JC, Kudlinski MV, Lester J, Hills N, Abuabara K, et al. Evaluation of hidradenitis suppurativa diagnostic criteria in pediatric patients. JAMA Dermatol 2022; 158: 1404–1408. DOI: https://doi.org/10.1001/jamadermatol.2022.4564
van der Zee HH, van Huijstee JC, van Straalen KR, Jemec GBE, Zouboulis CC, Tzellos T, et al. Viewpoint on the evaluation of severity and treatment effects in mild hidradenitis suppurativa: the cumulative IHS4. Dermatology 2024; 240: 514–516. DOI: https://doi.org/10.1159/000535867
Wilden S, Friis M, Tuettenberg A, Staubach-Renz P, Wegner J, Grabbe S, et al. Combined treatment of hidradenitis suppurativa with intense pulsed light (IPL) and radiofrequency (RF). J Dermatolog Treat 2021; 32: 530–537. DOI: https://doi.org/10.1080/09546634.2019.1677842
Cohn E, Mastacouris N, Palma G, Strunk A, Garg A. New-onset anxiety in paediatric patients with hidradenitis suppurativa. J Eur Acad Dermatol Venereol 2024; 38: e926–e928. DOI: https://doi.org/10.1111/jdv.19994
Paller AS, Rangel SM, Chamlin SL, Hajek A, Phan S, Hogeling M, et al. Stigmatization and mental health impact of chronic pediatric skin disorders. JAMA Dermatol 2024; 160: 621–630. DOI: https://doi.org/10.1001/jamadermatol.2024.0594
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Copyright (c) 2025 Alexandra Strobel, Michael Schultheis, Petra Staubach, Stephan Grabbe, Katharina Hennig, Jacek Szepietowski, Łukasz Matusiak, Esther von Stebut, Uwe Kirschner, Hans Bayer, Georgios Nikolakis, Simone Garcovich

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