10.6084/m9.figshare.4906760.v1
Kluger N.
Kluger
N.
Supplementary Material for: Cutaneous Complications Related to Tattoos: 31 Cases from Finland
Karger Publishers
2017
Tattooing
Tattoo
Lichen planus
Sarcoidosis
Melanoma
Atypical mycobacteria
Inflammation
Tattoo pigment
Cutaneous granuloma
2017-04-25 13:20:11
Dataset
https://karger.figshare.com/articles/dataset/Supplementary_Material_for_Cutaneous_Complications_Related_to_Tattoos_31_Cases_from_Finland/4906760
<p><b><i>Background:</i></b> Cutaneous complications related to
permanent tattoos affect 2-30% of those patients who have tattooed their
skin. Little is known about the cases of tattoo complications in
Finland. <b><i>Objective:</i></b> The aim of this study was to conduct a retrospective review of a series of Finnish patients with cutaneous tattoo reactions. <b><i>Methods:</i></b>
We collected cases of tattoo reactions from the Department of
Dermatology at Helsinki University Central Hospital, from members of the
Finnish dermatological society and from various other sources (author's
private practice, tattooists, professional internet forum). We analysed
the demographics, clinical presentation, diagnosis, and microscopic
findings on the skin biopsies, and evaluated the therapeutic outcome. <b><i>Results:</i></b>
Thirty-one patients (16 men and 15 women, mean age 37.8) were included
from 9 cities, mainly from Helsinki. Fifty-two percent (16/31) presented
with an allergic tattoo reaction mainly against the red colour (75%,
12/16). Reactions were clinically polymorph ranging from scattered
papules or nodules to complete infiltration of a colour. Lesions were
itchy and sometimes painful. The reactions were lichenoid,
granulomatous, pseudolymphomatous or less specific with a dermal
lympho-histiocytic or plasmocytic infiltrate. Other diagnoses included
tattoo blow-out (13%), melanoma within a tattoo, naevi within a tattoo
(10% each), lichen planus (6%), granulomatous reaction with uveitis,
sarcoidosis and dermatofibroma (3% each). Allergic tattoo reactions were
mainly treated with local corticosteroid (CS) ointments, CS
infiltration or surgical removal. <b><i>Conclusion:</i></b> This review
is the largest series of tattoo complications in the Baltic area. It
illustrates the wide spectrum of complications. Prospective, controlled
therapeutic studies are necessary to assess the best treatment protocols
for tattoo allergies and tattoo reaction management in general.</p>