Tattoo granulomas with associated uveitis responding to ocular treatment with dexamethasone 0.1% drops

Khoo, Andre Boo Shern; Damato, Erika M.; Rytina, E.; Haque‐Hussain, S.

doi:10.1111/ced.14237

Cited by 1 publication

(1 citation statement)

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“…Due to immunological cross‐reactivity to PPD, confounders like hair dye and black henna have to be ruled out during the anamnesis. Reactions to gold, 155,173 a metal very rarely found as a contamination in tattoo ink, 22 may be coincidental findings as well.…”

Section: Patch Test Performance In Tattoo Patientsmentioning

confidence: 94%

Hypersensitivity to permanent tattoos: Literature summary and comprehensive review of patch tested tattoo patients 1997–2022

2023

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We outline constituents of tattoo and permanent make-up ink with regard to inflammatory tattoo reactions and population-based confounders. The comprehensive review of patch-tested tattoo patients between 1997 and 2022 shows that tattoo allergy cannot be reliably diagnosed via patch testing with today's knowledge. Weak penetration and slow haptenization of pigments, unavailability of pigments as test allergens and a lack of knowledge concerning relevant epitopes hamper the diagnosis of tattoo allergy. Patch testing p-phenylenediamine and disperse (textile) dyes is not able to close this gap. Sensitization to metals was associated with all types of tattoo complications, although often not clinically relevant for the tattoo reaction. Binders and industrial biocides are frequently missing on ink declarations and should be patch tested. The pigment carbon black (C.I. 77266) is no skin sensitizer. Patch tests with culprit inks were usually positive with cheap ink products for non-professional use or with professionally used inks in patients with eczematous reactions characterized by papules and infiltration. Tape stripping before patch testing and patch test readings on Day 8 or 10 may improve the diagnostic quality. The meaningfulness of the categorical EU-wide ban of Pigment Green 7 and Pigment Blue 15:3 is not substantiated by the presented data.

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Section: Patch Test Performance In Tattoo Patientsmentioning

confidence: 94%