Treatment of reaction to red tattoo ink with intralesional triamcinolone

Wambier, Carlos Gustavo; Cappel, Mark A.; Wambier, Sarah Perillo de Farias

doi:10.1590/abd1806-4841.20176678

Cited by 3 publications

(2 citation statements)

References 5 publications

(5 reference statements)

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“…Conservative treatment in these cases is usually frustrating, because success with intralesional triamcinolone has only been reported in isolated cases. [ 4 ] The reactions usually subside only after removal of the triggering pigment.…”

Section: Introductionmentioning

confidence: 99%

Operative treatment of severe allergic reactions to red tattoo dye: Presentation and comparison of possible surgical procedures in seven patients

Laske¹,

Maschke²,

Bauer³

et al. 2022

J Cutan Aesthet Surg

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Context: The treatment of allergic reactions to red tattoo dye is challenging in most cases, as local therapy often does not offer long-term improvement and laser therapy is considered relatively contraindicated by many authors owing to the risk of generalized side effects. Therefore, surgical removal of these tattoos is favored; shave excision is the method of choice, particularly for the removal of the entire dye. Aims: The aim of this article was to retrospectively analyze the best post-operative outcome after surgical removal of allergic tattoo reactions using different excision techniques. Materials and Methods: We compared the different surgical procedures performed on seven patients with single and multiple allergic tattoo reactions treated between 2013 and 2018. Results: The best aesthetic results were achieved by superficial ablation of the inflammatory reaction, partially leaving tattoo remains in the skin. Conclusion: Based on our experience with this small number of patients, a superficial removal of the tattoo without complete removal of the dye is, in most cases, sufficient to achieve healing. The remaining dye residues seem to be better tolerated by the immune system afterwards. Furthermore, the tattoo is often preserved in large parts.

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Section: Introductionmentioning

confidence: 99%

Operative treatment of severe allergic reactions to red tattoo dye: Presentation and comparison of possible surgical procedures in seven patients

Laske¹,

Maschke²,

Bauer³

et al. 2022

J Cutan Aesthet Surg

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“…Treatment of these allergic reactions is difficult, as tattoo pigments are permanently stored in the dermis. Topical or intralesional corticosteroids are indicated as first-line treatment but effects are often temporary and unsatisfactory [ 10 ]. Allopurinol was reported to be effective in one patient; however, symptoms recurred after withdrawal of the drug [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Ablative laser surgery for allergic tattoo reactions: a retrospective study

Bent¹,

Huisman²,

Rustemeyer³

et al. 2020

Lasers Med Sci

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Patients with allergic tattoo reactions are burdened with itch and have a reduced quality of life. Conservative treatment is often insufficient and little is known about treatment options to remove the responsible allergen. We aimed to address the effectiveness and safety of ablative laser therapy including measurement of patient’s satisfaction, in patients with allergic reactions to tattoos. A retrospective study was conducted including patients with allergic tattoo reactions who were treated with a 10,600 nm ablative CO2 laser, either by full-surface ablation or fractional ablation. Clinical information originated from medical files and a 25-item questionnaire. Sixteen tattoo allergy patients were treated with a CO2 laser between January 2010 and January 2018. Fourteen patients completed the questionnaire. Ten patients were satisfied with laser treatment. On a visual analogue scale, pruritus and burning improved with a median of 5.5 and 4 points in the full surface ablation group and 3 points on both parameters in the fractional ablation group. Despite the relatively small group of patients, our results suggest that CO2 laser ablation improves itching, burning and impact on daily life in tattoo allergy.

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When Body Art Goes Awry—Severe Systemic Allergic Reaction to Red Ink Tattoo Requiring Surgical Treatment

Szulia

Antoszewski

Zawadzki

et al. 2022

IJERPH

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The aim of this report is to present a case of a patient who developed unusual systemic hypersensitivity reaction to a red-pigmented tattoo and to discuss diagnostic difficulties in case of systemic reactions to tattoo ink. The patient reported erythroderma on his arms and chest accompanied by plaque elevation of red parts of his most recently performed forearm tattoo as his primary symptoms. His health condition entailed a prolonged topical and intravenous immunosuppressive therapy, which proved ineffective. Over a year after emergence of initial symptoms, he presented to the Plastic Surgery Clinic with generalized erythroderma, systemic lymphadenopathy, elevation and granuloma formation in red tattoos on his forearm and complaints of fatigue and inability to participate fully in work-related and social activities. The patient underwent six staged excisions with direct closures, flap plasties and full-thickness skin grafts. Following completion of each surgical resection, the patient’s symptoms gradually subsided. We find this case illustrative of a clinical challenge that delayed hypersensitivity reactions to red tattoos may pose. Furthermore, we provide insights on management of hypersensitivity reactions. This report underlines the importance of social awareness of and public health approach to tattoo complications as key to successful prevention, identification and treatment of adverse reactions to tattoos.

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Treatment of reaction to red tattoo ink with intralesional triamcinolone

Cited by 3 publications

References 5 publications

Operative treatment of severe allergic reactions to red tattoo dye: Presentation and comparison of possible surgical procedures in seven patients

Operative treatment of severe allergic reactions to red tattoo dye: Presentation and comparison of possible surgical procedures in seven patients

Ablative laser surgery for allergic tattoo reactions: a retrospective study

When Body Art Goes Awry—Severe Systemic Allergic Reaction to Red Ink Tattoo Requiring Surgical Treatment

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