Immediate cutaneous hypersensitivity after treatment of tattoo with Nd:YAG Laser: a case report and review of the literature

England, Ronald W.; Vogel, Paula; Hagan, Larry L.

doi:10.1016/s1081-1206(10)61942-4

Cited by 74 publications

(49 citation statements)

References 10 publications

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“…Laser removal is a powerful photochemical procedure and is thus of special concern from the perspective of inducing major complications and allergy during or after laser removal. Indeed, acute allergic reactions including anaphylactic reaction as well as delayed flare up of allergic reactions of the treated tattoos have been reported during or shortly after laser removal of tattoos [32][33][34] . The use of laser equipment by an inexperienced layperson (cosmetologist, tattooist, or private person) can result in numerous complications [35] .…”

Section: Discussionmentioning

confidence: 99%

Classification of Tattoo Complications in a Hospital Material of 493 Adverse Events

Serup¹,

Sepehri

Carlsen³

2016

Dermatology

115

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Background/Aims: Tattooing is a global trend. Clinical knowledge of complications is based on case reports collected over a century. Larger cohorts reflecting complications associated with contemporary trends are lacking. Methods: The study was a retrospective review of a consecutive cohort of patients with tattoo complications diagnosed in the “Tattoo Clinic“ of Bispebjerg University Hospital in Copenhagen, Denmark, from 2008 to 2015, based on patient history and systematic clinical examination. Results: A total of 493 tattoo complications in 405 patients were studied. Overall, 184 (37%) presented allergic reactions with plaque elevation in 32.2%, excessive hyperkeratosis in 3.7%, and ulceration in 1.4%, predominantly observed in red tattoos and nuances of red; 66 (13%) presented papulo-nodular reactions, mainly observed in black tattoos (considered non-allergic) and due to pigment agglomeration; 53 (11%) had bacterial infections; 46 (9%) were psycho-social complications; 144 (30%) belonged to several specific diagnostic entities, including photosensitivity, pain syndrome, and lymphopathy. We found no cases of cutaneous or other malignancies. Sarcoidosis was primarily seen in black tattoos and was a common associated disease, found in 23 reactions (5%), compared to the background population. Conclusion: The study introduces a new concept of classification of tattoo complications based on simple tools such as patient history and objective findings supplemented with histology. The study reflects complications originating from presently used tattoo inks, often with organic pigments. The introduced classification has been submitted to the World Health Organisation (WHO) as a proposal to the 11th revision of the International Classification of Diseases.

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Section: Discussionmentioning

confidence: 99%

Classification of Tattoo Complications in a Hospital Material of 493 Adverse Events

Serup¹,

Sepehri

Carlsen³

2016

Dermatology

115

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“…Hypersensitivity reactions due to treatment with lasers acting by selective photothermolysis are caused by systemic uptake of antigenic pigment that is released extracellularly by fragmentation of pigment-containing macrophages and mast cells (2,4,6). Hypothetically, antigenic determinants may also be altered by the laser therapy itself.…”

Section: Discussionmentioning

confidence: 99%

“…Hypothetically, antigenic determinants may also be altered by the laser therapy itself. This might explain the occurrence of hypersensitivity reactions after laser treatment of previously non-allergenic tattoos (4). Beside the risk of induction of allergic reactions, treatment efficacy of most widely used Q-switched lasers, such as the frequency-doubled Nd:YAG laser, is compromised by the limited penetration depth of these modalities.…”

Section: Discussionmentioning

confidence: 99%

Generalized eczematous reaction after fractional carbon dioxide laser therapy for tattoo allergy

Meesters

Rie

Wolkerstorfer

2016

Journal of Cosmetic and Laser Therapy

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“…This phenomenon is clinically distinct from the acute urticarial response reported by England et al, in a 26-year-old woman 30 minutes after tattoo removal with the Q switched Nd Yag laser. This immediate hypersensitivity reaction was successfully treated, and subsequently prevented, with a 3-day course of prednisone, cetirizine, and ranitidine [2].…”

Section: Discussionmentioning

confidence: 99%

Transient immunoreactivity after laser tattoo removal: Report of two cases

2008

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Immediate cutaneous hypersensitivity after treatment of tattoo with Nd:YAG Laser: a case report and review of the literature

Cited by 74 publications

References 10 publications

Classification of Tattoo Complications in a Hospital Material of 493 Adverse Events

Classification of Tattoo Complications in a Hospital Material of 493 Adverse Events

Generalized eczematous reaction after fractional carbon dioxide laser therapy for tattoo allergy

Transient immunoreactivity after laser tattoo removal: Report of two cases

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