An update on cutaneous complications of permanent tattooing

Kluger, Nicolas

doi:10.1080/1744666x.2020.1676732

Cited by 31 publications

(53 citation statements)

References 90 publications

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“…Preservatives, a substance group with specific functional properties, may pose human health risks, as well. Adverse effects appearing directly after tattooing or years later have been monitored in dermatological clinics and are comprehensively summarized by Kluger (2019) and Serup et al (2016). In summary, acute contact dermatitis, inflammatory reactions, and infectious complications account for common acute effects.…”

Section: Biodistribution Of Tattoo Inks: In Vivo and Ex Vivo Evidencementioning

confidence: 99%

Safety of tattoos and permanent make-up: a regulatory view

et al. 2020

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The continuous increase in the popularity of tattoos and permanent make-up (PMU) has led to substantial changes in their societal perception. Besides a better understanding of pathological conditions associated with the injection of highly diverse substances into subepidermal layers of the skin, their regulation has occupied regulatory bodies around the globe. In that sense, current regulatory progress in the European Union is an exemplary initiative for improving the safety of tattooing. On one hand, the compilation of market surveillance data has provided knowledge on hazardous substances present in tattoo inks. On the other hand, clinical data gathered from patients enabled correlation of adverse reactions with certain substances. Nevertheless, the assessment of risks remains a challenge due to knowledge gaps on the biokinetics of highly complex inks and their degradation products. This review article examines the strategies for regulating substances in tattoo inks and PMU in light of their potential future restriction in the frame of the REACH regulation. Substance categories are discussed in terms of their risk assessment and proposed concentration limits.

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Section: Biodistribution Of Tattoo Inks: In Vivo and Ex Vivo Evidencementioning

confidence: 99%

Safety of tattoos and permanent make-up: a regulatory view

et al. 2020

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“…A review of the English language literature showed a few case reports of lichenoid reactions following tattooing, summarized in Table 1. Lichenoid reactions following tattooing have been reported after black or red ink tattoos, and can be localized 1,3,4 at the tattoo site or generalized 2,5‐7 involving nontattooed skin at distant sites. In terms of latency, localized lichen planus has been described 2 days to 4 weeks after acquiring the tattoo, 1,3,4 and generalized lichen planus has been described 4 days to 7 months after acquiring the tattoo 2,5,6,8 .…”

Section: Case Reportmentioning

confidence: 99%

Lichen planus pemphigoides after body tattooing

Lim

Tang

2020

J of Cosmetic Dermatology

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Decorative tattooing is very popular worldwide and is associated with cutaneous complications, ranging from infections to localized or generalized skin reactions. We report a case of a patient presenting with generalized violaceous pruritic papular lesions 1 month after obtaining a black ink tattoo. Histological examination of a papular lesion distal to the tattoo site showed focal band‐like lymphocytic infiltrate. He subsequently developed bullae over the papular lesions, with elevated serum BP180 antibody levels. A diagnosis of generalized lichen planus and lichen planus pemphigoides was made. He responded to treatment with potent topical corticosteroids and ciclosporin. We also reviewed the presentation and treatment of published cases of lichenoid reactions in the literature. With the increasing popularity of tattoos, awareness of this potential complication and possible treatments is important.

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“…From a consumer’s aspect, there is a notable increase in the incidence of “itchy tattoos” (Kluger 2019a ). From a clinical point of view, hypersensitivity reactions to tattoo inks, mostly elicited by specific colorants, are the most common tattoo complications, and these are unpredictable (Kluger 2019b ). Hypersensitivity may appear after a latency of several months or even years; the state is mostly chronic, and it is resistant against treatment with corticoids.…”

Section: Toxic Effects Of Tattooingmentioning

confidence: 99%

“…Hypersensitivity may appear after a latency of several months or even years; the state is mostly chronic, and it is resistant against treatment with corticoids. Moreover, epicutaneous patch testing with specific tattoo inks is usually negative, because the reaction is due to hapten formation within the inner skin, by combination with a protein and/or by the involvement of degradation products (Kluger 2019b ; Bagot 2020 ).…”

Section: Toxic Effects Of Tattooingmentioning

confidence: 99%

Tattoo toxicology, an upcoming complex scientific issue

Bolt

Hengstler

2020

Arch Toxicol

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A Guest Editorial in Archives of Toxicology by Schreiver and Luch (2016) has pointed to the new field of tattoo toxicology and to existing data gaps. A global trend is now noted towards larger and more colourful tattoos (Bagot 2020). Yet, tattoo legislation in Europe is still based on an exposure scenario of placing the product on top of the skin, rather than right into the middle of living tissue beneath the epidermal skin barrier (Schreiver and Luch 2016).

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An update on cutaneous complications of permanent tattooing

Cited by 31 publications

References 90 publications

Safety of tattoos and permanent make-up: a regulatory view

Safety of tattoos and permanent make-up: a regulatory view

Lichen planus pemphigoides after body tattooing

Tattoo toxicology, an upcoming complex scientific issue

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