Lichen planus or lichenoid tattoo reaction?

Dang, Minh; Hsu, Sylvia; Bernstein, Eric F.

doi:10.1046/j.1365-4362.1998.00593.x

Cited by 30 publications

(25 citation statements)

References 6 publications

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“…The chronic inflammatory cell infiltrate can be nodular, lichenoid, or granulomatous. Similar to our finding, the most common is a lichenoid histological pattern, which is believed to be an expression of delayed hypersensitivity simulating a graft‐vs.‐host‐reaction 10 …”

Section: Discussionsupporting

confidence: 90%

Prolonged lichenoid reaction and cross‐sensitivity to para‐substituted amino‐compounds due to temporary henna tattoo

Schultz

Mahler

2002

Int J Dermatology

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An 8‐year‐old boy (case 1) was seen in September 2000 with pruritic papules on his left upper arm, 1 week after having received a so‐called henna painting in Egypt (Fig. 1a). An 18‐year‐old female student (case 2) was seen in August 2000 with pruritic papular skin eruptions on her lower back, 2 weeks after having obtained a so‐called temporary henna tattoo in Ibiza (Fig. 1d). In both patients, the skin lesions were localized to the paintings which had already faded, leaving a dragon‐shaped papular skin eruption and an infiltrated Chinese sign, respectively. 1a–e (a) Papular skin reaction following so called henna painting of a dragon (case 1); (b) Remaining hypopigmentation after 12 months (case 1); (c) Severe patch test reactions (72 h‐reading) to p‐phenylenediamine and IPPD (upper left), disperse orange 3 and disperse yellow 3 (upper right), tert. butylhydrochinone (lower left), p‐aminophenol, p‐toluylenediamine, disperse orange 3, p‐aminoazobenzol and 4,4′diaminodiphenyl methane (lower right) in case 1, an 8‐year‐old boy; (d) Chronic induration following so called henna painting of a chinese sign (case 2); (e) Histological specimen: lichenoid reaction (case 1) A histology obtained from the dragon‐shaped skin lesion showed irregular parakeratosis, plump acanthosis and spongiosis of the epidermis with exocytosis. The dermis showed monomorphous lichenoid lymphoid infiltrates, few histiocytes and eosinophils, partially erythrocyte extravasate and obliterated capillaries (Fig. 1e). In both patients patch test series (standard series*, textile dyes**, aromatic para‐substituted amino‐compounds***, cosmetics and skin care products****) were performed according to the German Contact Dermatitis Research Group. Additionally, procaine (pure), sulfamethoxazole (pure), saccharine (pure) and cyclamate (pure) were tested. In the 8‐year‐old patient, after 48 h and 72 h a +++‐reaction (i.e. erythema, infiltration and confluent vesicles according to the International Contact Dermatitis Research Group) occured to p‐phenylenediamine, p‐toluylenediamine, disperse orange 3, disperse yellow 3, p‐aminoazobenzol and p‐aminophenol; a ++‐reaction (i.e. erythema, infiltration, papules and vesicles) occured to IPPD, 4,4′diaminodiphenyl methane; and a +‐reaction (i.e. erythema, infiltration, papules) to tert. butyl hydroquinone (Fig. 1c). The 18‐year old patient exhibited a +++‐reaction to p‐phenylenediamine, p‐toluylenediamine, disperse orange 3 and p‐aminoazobenzol after 48 h and 72 h. Topical steroids were utilized for therapeutic intervention during the initial pruritic phase of skin lesions. In case 1, prednicarbat 0.25% cream was topically applied twice a day for 6 weeks. In patient 2, clobetasol‐17‐propionat 0.05% cream was used once a day for 2 weeks. When the discomfort ceased, this therapy was discontinued and a steroid‐free ointment (Unguentum leniens) was applied twice daily. In June 2001, in both patients, the skin lesions were invariably present. The infiltrate decreased on further follow‐up. At the 12‐months follow‐u...

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Section: Discussionsupporting

confidence: 90%

Prolonged lichenoid reaction and cross‐sensitivity to para‐substituted amino‐compounds due to temporary henna tattoo

Schultz

Mahler

2002

Int J Dermatology

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“…The main question remains whether the tattoo is the cause of the lichenoid reaction or the tattoo reaction is the result of a Koebner phenomenon in a patient with undiagnosed LP. Histology cannot distinguish between the 2 conditions [33] . Both of our patients had mucosal lesions, but it is impossible to draw any conclusion about the status before tattooing, as they were examined after the tattoo rash.…”

Section: Generalized Lichenoid Tattoo Reactions and Lpmentioning

confidence: 99%

Cutaneous Complications Related to Tattoos: 31 Cases from Finland

Kluger¹

2017

Dermatology

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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. Conclusion: 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.

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“…Lichenoid tattoo reactions can be indistinguishable from lichen planus, and in some cases may actually represent Koebner responses of true lichen planus to the tattoo. In addition, there are reports of tattoos triggering generalized lichen‐planus type eruptions …”

Section: Tattoos and Inflammatory Reactionsmentioning

confidence: 99%

The histopathologic spectrum of decorative tattoo complications

et al. 2012

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Tattooing for ornamental purposes is an ancient practice that remains popular in modern times. Tattoos are encountered by the dermatopathologist either as incidental findings on skin biopsies or because of complications specific to the tattoo. A range of neoplasms and inflammatory conditions are seen in association with tattoos, many of which may be attributed to hypersensitivity to tattoo inks. The composition of tattoo inks is highly variable, and inks can contain numerous potentially allergenic or carcinogenic compounds. Infections with bacterial, viral and fungal species can occur after tattooing, sometimes after substantial delay. Atypical mycobacterial infections in particular are increasingly reported; special stains for mycobacteria should be performed and cultures recommended particularly when dense, mixed or granulomatous infiltrates are present.

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Lichen planus or lichenoid tattoo reaction?

Cited by 30 publications

References 6 publications

Prolonged lichenoid reaction and cross‐sensitivity to para‐substituted amino‐compounds due to temporary henna tattoo

Prolonged lichenoid reaction and cross‐sensitivity to para‐substituted amino‐compounds due to temporary henna tattoo

Cutaneous Complications Related to Tattoos: 31 Cases from Finland

The histopathologic spectrum of decorative tattoo complications

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