Histopathologic spectrum of reactions to black tattoo pigment: a report of five cases from India

Vellaisamy, Gnanapriya; Tirumalae, Rajalakshmi; Inchara, YK

doi:10.4103/ejdv.ejdv_30_17

Cited by 2 publications

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“…Most of these patients had got tattoos done at fairs or roadside, which is a fairly common scenario in India. In our study, the majority of the patients with the tattoo reactions belonged to the third decade (68%), which is similar to as seen in the case series by Vellaisamy et al 14 The mean age in our study was 24.6 years (17–35 years), which is comparable to a study in rural parts of southern India (22 years; 17–29 years) 6 . Patients above 50 years of age, who had their tattoos for a duration of more than 20 to 25 years, did not show any cutaneous reactions.…”

Section: Discussionsupporting

confidence: 90%

“…Black ink contains mostly polycyclic hydrocarbons, phenol, and in some cases iron oxide. The ink may affect the integrity of skin as a result of the production of singlet oxygen and produce reactions 14 . The histopathological response seen in different tattoo inks is summarized in Table 4.…”

Section: Discussionmentioning

confidence: 99%

“…Granulomatous response to tattoo pigments may further be classified into tuberculoid, sarcoidal, foreign body, suppurative granulomatous, hypersensitivity type, and in some cases necrobiotic palisading granulomatous reactions 14 . Foreign body reaction is characterized by the presence of pigment‐containing giant cells while there is a lack of giant cells in the hypersensitivity type of granulomatous reaction 9 .…”

Section: Discussionmentioning

confidence: 99%

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Histopathological evaluation of cutaneous reactions to tattoos: Study at a tertiary care center

et al. 2021

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Background Tattooing has been around for many years and is becoming an increasingly common fashion trend. As there are often few regulatory laws regarding the practice, an increase in the incidence of cutaneous reactions to tattoo inks is noted. These include allergic reactions, granulomatous dermatitis, infections, lichenoid dermatoses, and sometimes malignancy. The present study examines the histopathological changes seen in patients with cutaneous reactions to tattoo ink. Method A prospective observational study was conducted over 18 months in the dermatology clinic of a tertiary care center in western India. The study population included 22 patients with cutaneous reactions over the tattoos. Punch biopsy specimens were sent to study the pattern of histopathological response. Results All 22 patients studied were between the ages of 17 and 35 years. The mean duration of development of reaction was 8.1 months. Most of the reactions were seen in black ink tattoos performed by amateurs. Perivascular and spongiotic dermatitis suggestive of allergic response was the most common feature on histopathology. Granulomatous response and lichenoid response were seen in five and three biopsies, respectively. Conclusion Legalization is needed for this practice to prevent tattoo reactions. Histopathological evaluation is important as tattoo reactions may be associated with skin infections and malignancies.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Histopathological evaluation of cutaneous reactions to tattoos: Study at a tertiary care center

et al. 2021

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“…This may present as a granulomatous reaction which is a great mimicker of other granulomatous disorder. 9 This granuloma formation may be the result of an excessive immune response to endogenous or exogenous substances. A foreign body or tattoo pigment can be seen histopathologically.…”

Section: Discussionmentioning

confidence: 99%

A clinicopathological analysis of non-infectious granulomatous dermatoses

Bijjaragi¹,

Aarthy²,

Balaram³

et al. 2021

IJPO

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Background: Non-infectious granulomatous dermatoses involves a broad group of distinct reactive inflammatory conditions. They have overlapping morphological and clinical features and hence pose a diagnostic challenge to differentiate from other granulomatous dermatoses and affect the management of the patient. Aims and Objectives: To study the histopathological patterns of non-infectious granulomatous dermatoses and to correlate with clinical features. Materials and Methods: It is a retrospective study for a period of 5 years at a tertiary care centre in central Karnataka.Results: In the present study, out of 7273 skin biopsies there were 34 cases of non-infectious granulomatous dermatoses. Out of these 34 cases, granuloma annulare (50%) was the most common non-infectious granulomatous lesion followed by annular elastolytic giant cell granuloma (14%), foreign body granuloma (9%), tattoo granuloma (9%) perforating folliculitis (9%), xanthoma(6%) and xanthelasma (3%). Conclusion: Non-infectious granulomatous disorders of skin encompass a large group of disorders with overlapping features. Thus adequate clinical data and subtle histological findings are important for specific diagnosis which provides better patient management.

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Histopathologic spectrum of reactions to black tattoo pigment: a report of five cases from India

Cited by 2 publications

References 0 publications

Histopathological evaluation of cutaneous reactions to tattoos: Study at a tertiary care center

Histopathological evaluation of cutaneous reactions to tattoos: Study at a tertiary care center

A clinicopathological analysis of non-infectious granulomatous dermatoses

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