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Watanabe FMF, Dantas LDP, Bonamigo RR. Dermoscopic changes of tattoos over melanocytic nevi. An Bras Dermatol 2024; 99:728-730. [PMID: 38824098 PMCID: PMC11342996 DOI: 10.1016/j.abd.2023.08.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 06/16/2023] [Accepted: 08/07/2023] [Indexed: 06/03/2024] Open
Affiliation(s)
| | - Lia Dias Pinheiro Dantas
- Postgraduate program in Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Renan Rangel Bonamigo
- Department of Dermatology, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil; Department of Internal Medicine, Faculty of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
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2
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Kinkar LI, Magboul MA, Alamri GE, Shaheen EA, Altalhi ER, Alharthi AM, Baabdullah AM. Knowledge and Attitude Towards Cutaneous Complications of Tattoos and Piercings Among the General Population in Saudi Arabia. Cureus 2023; 15:e49912. [PMID: 38174194 PMCID: PMC10763695 DOI: 10.7759/cureus.49912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/04/2023] [Indexed: 01/05/2024] Open
Abstract
Introduction Tattooing and piercing, which were uncommon in affluent countries, have recently spread throughout societies. Over the past two decades, young people have shown considerable excitement for the practice. This reported growth creates more difficulties because of the numerous operations performed without awareness of health and hygiene requirements. This study aims to assess the knowledge and attitudes of the general population toward the cutaneous complications of tattoos and piercings in Saudi Arabia. Methods This was a web-based descriptive cross-sectional study. An online questionnaire was developed by the study researchers, which included participants' demographic data, their knowledge of tattoos and piercings with associated health effects and possible infections, their attitude towards tattoos and piercings, and their practice and experienced complications regarding tattooing and body piercing. The final validated questionnaire was made publicly available via social media until no more new responses were obtained. Results Eight hundred and forty-eight individuals completed the study questionnaire. The ages of the participants varied from 18 to more than 55 years old, with a mean age of 25.2 ± 13.9 years, and (589 [69.5%]) were female. The most reported health effects and infections were bacterial infections in place of body modification (479 [56.5%]), purpura (380 [44.9%]), cutaneous abscesses (380 [44%]), melanoma (338 [39.9%]), hepatitis B virus (321 [37.9%]), HIV (311 [36.7%]), sepsis (306 [36.2%]), allergic contact dermatitis (296 [35%]), and hepatitis C virus (279 [33.1%]). In total, 336 (39.6%) had an overall good knowledge of tattooing and body piercing hazards, with higher knowledge among females with high education (p< 0.05). Conclusion This study revealed that one in three individuals knew about the health risks and infections associated with tattooing and body piercing. Higher awareness was found among females with high education levels. Of all the associated complications, procedure-related infections were the most common among participants.
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Affiliation(s)
- Lina I Kinkar
- Department of Medicine, College of Medicine, Umm Al-Qura University, Makkah, SAU
| | - Maan A Magboul
- Department of Medicine, King Abdulaziz University Faculty of Medicine, Jeddah, SAU
| | - Ghadeer E Alamri
- Department of Medicine, College of Medicine, Umm Al-Qura University, Makkah, SAU
| | - Esraa A Shaheen
- Department of Medicine, King Abdullah International Medical Research Center, Jeddah, SAU
- Department of Medicine, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Jeddah, SAU
| | - Elaf R Altalhi
- Department of Medicine, College of Medicine, Umm Al-Qura University, Makkah, SAU
| | | | - Ahmed M Baabdullah
- Department of Dermatology, King Abdulaziz University Hospital, Jeddah, SAU
- Department of Dermatology, King Abdulaziz University Faculty of Medicine, Jeddah, SAU
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UTKU TÜRK EG, JANNUZZI AT, ALPERTUNGA B. Determination of the Phototoxicity Potential of Commercially Available Tattoo Inks Using the 3T3-neutral Red Uptake Phototoxicity Test. Turk J Pharm Sci 2022; 19:70-75. [DOI: 10.4274/tjps.galenos.2021.86344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Tampa M, Mitran MI, Mitran CI, Matei C, Amuzescu A, Buzatu AA, Georgescu SR. Viral Infections Confined to Tattoos-A Narrative Review. MEDICINA (KAUNAS, LITHUANIA) 2022; 58:342. [PMID: 35334518 PMCID: PMC8955137 DOI: 10.3390/medicina58030342] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 02/15/2022] [Accepted: 02/19/2022] [Indexed: 01/19/2023]
Abstract
Since ancient times, people have tattooed their skin for various reasons. In the past, tattoos were associated with low social status; nowadays, tattoos are very popular and are considered a form of art. However, tattoos are associated with various clinical problems, including immune reactions, inflammatory disorders, infections, and even skin cancer. Epidemiological and clinical data of infections on tattoos are scarce. Tattoo-related infections are mostly bacterial; only a few localized viral infections have been reported so far and are caused by molluscum contagiosum virus (MCV), human papillomavirus (HPV), and herpes simplex virus (HSV). In most cases, the lesions were strictly confined to the area of the tattoo. In this review, we have analysed reported cases of viral infections localized on tattoos and discussed the possible mechanisms involved in the occurrence of these infections.
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Affiliation(s)
- Mircea Tampa
- Department of Dermatology, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania; (M.T.); (C.M.); (S.R.G.)
- Department of Dermatology, ‘Victor Babes’ Clinical Hospital for Infectious Diseases, 030303 Bucharest, Romania;
| | - Madalina Irina Mitran
- Department of Microbiology, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania;
- Department of Microbiology, “Cantacuzino” National Medico-Military Institute for Research and Development, 011233 Bucharest, Romania
| | - Cristina Iulia Mitran
- Department of Microbiology, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania;
- Department of Microbiology, “Cantacuzino” National Medico-Military Institute for Research and Development, 011233 Bucharest, Romania
| | - Clara Matei
- Department of Dermatology, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania; (M.T.); (C.M.); (S.R.G.)
| | - Andreea Amuzescu
- Department of Dermatology, ‘Victor Babes’ Clinical Hospital for Infectious Diseases, 030303 Bucharest, Romania;
| | - Alina Andreea Buzatu
- Department of Communications and Public Relations, Faculty of Letters, University of Bucharest, 010017 Bucharest, Romania
| | - Simona Roxana Georgescu
- Department of Dermatology, ‘Carol Davila’ University of Medicine and Pharmacy, 020021 Bucharest, Romania; (M.T.); (C.M.); (S.R.G.)
- Department of Dermatology, ‘Victor Babes’ Clinical Hospital for Infectious Diseases, 030303 Bucharest, Romania;
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ERTAM SAĞDUYU İ, GERÇEKER TÜRK B, ÖZKAPU T. Dövme alanında molluskum kontagiozum. EGE TIP DERGISI 2021. [DOI: 10.19161/etd.990243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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6
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Mukai T, Fujiwara D, Miyake T, Fujita S, Morizane S, Morita Y. Tattoo skin reaction as a skin manifestation of systemic sarcoidosis. Mod Rheumatol Case Rep 2020; 5:167-171. [PMID: 32967569 DOI: 10.1080/24725625.2020.1816645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
A 41-year-old man presented with itching of the skin surrounding his tattoos, blurred vision, fever, general fatigue, and arthralgia. Physical examination revealed skin bulges confined to the tattoo ink lines. Histological analyses of the skin revealed non-caseating granulomas surrounding the tattoo inks. Together with other clinical manifestations including uveitis, lymph nodes swelling, and elevated serum angiotensin-converting enzyme and lysozyme, he was diagnosed with systemic sarcoidosis. The administration of prednisolone alleviated the sarcoidosis-related symptoms, including skin changes. This case illustrates that skin changes on tattoos can be a presenting manifestation of systemic sarcoidosis and that skin biopsy is useful in early diagnosis.
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Affiliation(s)
- Tomoyuki Mukai
- Department of Rheumatology, Kawasaki Medical School, Okayama, Japan.,Department of Internal Medicine, Fukuyama City Hospital, Hiroshima, Japan
| | - Dan Fujiwara
- Department of Dermatology, Fukuyama City Hospital, Hiroshima, Japan
| | - Tomoko Miyake
- Department of Ophthalmology, Fukuyama City Hospital, Hiroshima, Japan
| | - Shunichi Fujita
- Department of Rheumatology, Kawasaki Medical School, Okayama, Japan
| | - Shin Morizane
- Department of Dermatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Yoshitaka Morita
- Department of Rheumatology, Kawasaki Medical School, Okayama, Japan
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Assessing Infection Risks among Clients and Staff Who Use Tattooing Services in Poland: An Observational Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17186620. [PMID: 32932896 PMCID: PMC7559388 DOI: 10.3390/ijerph17186620] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Revised: 09/03/2020] [Accepted: 09/08/2020] [Indexed: 12/16/2022]
Abstract
Across cultures and generations, people have tattooed their bodies. Although blood-borne infections from tattooing have been reduced, certain service aspects remain improperly managed. We assessed the infection risks associated with tattooing by conducting a cross-sectional study (2013–2014) in Poland using an anonymous questionnaire survey. Scoring procedures for blood-borne infection risks for tattooists and their clients were used. Overall, 255 tattooists were interviewed. A quasi-random selection of tattoo parlors was based on a service register. Knowledge, attitudes, and behavior regarding blood-borne infection risks were assessed using a questionnaire. Simultaneously, tattoo centers were audited. Tattooing had a higher infection risk for tattooists than for clients. Approximately 50% of respondents underwent training on postexposure procedures, which constituted almost one in five of the reported needlestick/cut injuries sustained while working. Furthermore, 25.8% had no knowledge regarding risk from reliable sources, and 2.1% had not broadened their knowledge. Tattooists and their clients are at a risk of infection, and knowledge concerning infection risks remains an underestimated preventative factor. Service quality surveillance and creation of a register for tattoo-related complications may help assess the scale of this public health issue. However, a lack of these records implies the challenges in developing effective organizational and legal protections.
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Health Implications and Counseling Considerations for Individuals With Piercings and Tattoos. Nurs Womens Health 2020; 24:210-227. [PMID: 32505360 DOI: 10.1016/j.nwh.2020.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2019] [Accepted: 03/01/2020] [Indexed: 11/21/2022]
Abstract
Body art has become common and mainstream. Tattoos and body piercings represent highly individual expressions of identity and personal values. Health care services are enhanced when clinicians understand the anatomy and physiology, common discomforts, and real but rare serious risks of body modification and are prepared to provide compassionate support for individuals' choices. Special consideration must be given to the needs of childbearing women. By opening channels of communication, clinicians can engage with clients in shared decision making to help those who possess or desire body art take steps to reduce the risk of adverse effects and obtain prompt and effective medical care when problems arise. Through respectful discussion of existing body art, the therapeutic relationship is strengthened, and greater insight into an individual's health needs may be achieved.
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9
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Yadav P, Yadav A, Yadav J, Chander R. Tattoo for camouflage: A new cause of tattoo regret. Indian Dermatol Online J 2020; 11:250-252. [PMID: 32477992 PMCID: PMC7247660 DOI: 10.4103/idoj.idoj_189_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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10
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Brown H, Hannaford R. Recurrent lichenoid reaction to black tattoo ink: A case report and brief review of the literature. Australas J Dermatol 2019; 61:e238-e240. [PMID: 31880811 DOI: 10.1111/ajd.13231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2019] [Accepted: 12/07/2019] [Indexed: 11/27/2022]
Abstract
Cutaneous reactions to tattoos are increasing as the prevalence of tattoos increases. Lichenoid reactions often occur in red tattoos and are usually localised to the tattoo. We present a case of recurrent lichenoid reaction occurring in both the black tattooed and adjacent non-tattooed skin.
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11
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Farley CL, Van Hoover C, Rademeyer CA. Women and Tattoos: Fashion, Meaning, and Implications for Health. J Midwifery Womens Health 2019; 64:154-169. [PMID: 30806488 DOI: 10.1111/jmwh.12932] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2018] [Revised: 10/14/2018] [Accepted: 10/18/2018] [Indexed: 12/12/2022]
Abstract
Tattooing is a type of body modification that is both ancient and modern. Tattooing is rapidly increasing in popularity and prevalence, especially among younger people. Therefore, health care providers require knowledge about this form of artistic expression, including potential health implications and psychosocial significance. Tattooing is richly laden with cultural and personal meaning, but despite the increasingly mainstream status of this art form, individuals with tattoos may experience stigma, stereotyping, and discrimination in their personal and professional lives. The legal and regulatory aspects of tattoos have lagged behind the rapid growth of this art form, causing confusion and variation in practice. Particularly concerning is the multitude of largely unregulated tattoo inks marketed for human use but untested on humans. Common and uncommon side effects and complications of this procedure include hypersensitivity, infection, and regret. More women than men are now tattooed, and tattooing is associated with important implications for women's health care, including pregnancy, childbirth, and breastfeeding. Because of the frequency of regret, many individuals wish to be rid of previously acquired body art. Therefore, health care providers also need to be conversant with tattoo removal: motivations, techniques, risks, and factors influencing success. Familiarity with the many dimensions of body art will facilitate safe, compassionate health care provision and will enhance the therapeutic relationship enjoyed by clinicians and the individuals they serve.
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12
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Valbuena MC, Franco VE, Sánchez L, Jiménez HD. Sarcoidal granulomatous reaction due to tattoos: report of two cases. An Bras Dermatol 2018; 92:138-141. [PMID: 29267473 PMCID: PMC5726704 DOI: 10.1590/abd1806-4841.20175860] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2016] [Accepted: 11/27/2016] [Indexed: 11/22/2022] Open
Abstract
Numerous infectious, inflammatory and neoplastic complications secondary to
tattoo placement have been reported in the literature. Within inflammatory
complications sarcoidal granulomatous reactions have been described. We report
two cases, a 55-year-old woman with yellowish infiltrated plaques on bilateral
ciliary region, 16 years after the placement of a permanent tattoo in the
eyebrows, and a 20-year-old tattoo artist who developed orange papules on 3 of
his tattoos. Histopathology in both cases confirmed diagnosis of sarcoidal
granulomatous reaction due to tattoo pigment.
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Affiliation(s)
- Martha Cecilia Valbuena
- University Hospital Centro Dermatológico Federico Lleras Acosta - Bogotá, Colombia.,Fundación Universitaria Sanitas - Bogotá, Colombia
| | - Victoria Eugenia Franco
- University Hospital Centro Dermatológico Federico Lleras Acosta - Bogotá, Colombia.,Fundación Universitaria Sanitas - Bogotá, Colombia
| | - Lorena Sánchez
- University Hospital Centro Dermatológico Federico Lleras Acosta - Bogotá, Colombia.,Fundación Universitaria Sanitas - Bogotá, Colombia
| | - Héctor David Jiménez
- University Hospital Centro Dermatológico Federico Lleras Acosta - Bogotá, Colombia.,Fundación Universitaria Sanitas - Bogotá, Colombia
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Breuner CC, Levine DA, Breuner CC, Alderman EM, Garofalo R, Grubb LK, Powers ME, Upadhya KK, Wallace SB. Adolescent and Young Adult Tattooing, Piercing, and Scarification. Pediatrics 2017; 140:peds.2017-1962. [PMID: 28924063 DOI: 10.1542/peds.2017-1962] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Tattoos, piercing, and scarification are now commonplace among adolescents and young adults. This first clinical report from the American Academy of Pediatrics on voluntary body modification will review the methods used to perform the modifications. Complications resulting from body modification methods, although not common, are discussed to provide the pediatrician with management information. Body modification will be contrasted with nonsuicidal self-injury. When available, information also is presented on societal perceptions of body modification.
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Affiliation(s)
- Cora C. Breuner
- Adolescent Medicine Division, Department of Pediatrics, Orthopedics and Sports Medicine, Seattle Children’s Hospital, University of Washington, Seattle, Washington; and
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Junqueira AL, Wanat KA, Farah RS. Squamous neoplasms arising within tattoos: clinical presentation, histopathology and management. Clin Exp Dermatol 2017; 42:601-606. [DOI: 10.1111/ced.13183] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/25/2016] [Indexed: 11/26/2022]
Affiliation(s)
- A. L. Junqueira
- Department of Dermatology; University of Minnesota; Minneapolis MN USA
| | - K. A. Wanat
- Department of Dermatology and Pathology; University of Iowa Hospitals and Clinics; Iowa City IA USA
| | - R. S. Farah
- Department of Dermatology; University of Minnesota; Minneapolis MN USA
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Tammaro A, De Marco G, D'Arino A, Pigliacelli F, Daniele A, Borgert I, Parisella FR, Persechino S. Aminoazobenzene in tattoo: another case of allergic contact dermatitis. Int J Dermatol 2017; 56:e79-e81. [PMID: 28205219 DOI: 10.1111/ijd.13531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2015] [Revised: 10/31/2016] [Accepted: 11/11/2016] [Indexed: 11/27/2022]
Affiliation(s)
- Antonella Tammaro
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Gabriella De Marco
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Andrea D'Arino
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Flavia Pigliacelli
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Alessandra Daniele
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Ipin Borgert
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Francesca R Parisella
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Severino Persechino
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
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Tighe ME, Libby DK, Dorn SK, Hosmer JR, Peaslee GF. A Survey of Metals Found in Tattoo Inks. ACTA ACUST UNITED AC 2017. [DOI: 10.4236/jep.2017.811077] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Gilson RC, Pham CM, Gilson RT. Bullous Pseudomonas skin infection and bacteremia caused by tattoo ink used in radiation therapy. JAAD Case Rep 2016; 1:222-4. [PMID: 27051735 PMCID: PMC4808738 DOI: 10.1016/j.jdcr.2015.05.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
| | | | - Robert T. Gilson
- Division of Dermatology and Cutaneous Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX
- Correspondence to: Robert T. Gilson, MD, Associate Professor, Division of Dermatology and Cutaneous Surgery, 7979 Wurzbach Road, Grossman Building, 3rd Floor, Mail Code 7876, San Antonio, TX 78229-4427.
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The Demographics and Rates of Tattoo Complications, Regret, and Unsafe Tattooing Practices: A Cross-Sectional Study. Dermatol Surg 2016; 41:1283-9. [PMID: 26509942 DOI: 10.1097/dss.0000000000000500] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
BACKGROUND Tattoos have become increasingly common in the United States; however, there are limited data on the rates of tattoo complications and tattoo regret. OBJECTIVE To determine the rates of infectious and allergic complications after tattooing, rates of tattoo regret, the perception of dermatologists among people with tattoos, and the demographics of people with tattoos. MATERIALS AND METHODS An 18-question cross-sectional survey was fielded in New Orleans in January 2015. Participants had to be at least 18 years old, have at least 1 tattoo, and reside within the United States. RESULTS In total, 501 participants from 38 American states were enrolled. Of all participants, 3.2% had a history of an infected tattoo, 3.8% had a history of a painful tattoo, and 21.2% had a history of a pruritic tattoo; 16.2% of participants regret a current tattoo and 21.2% are interested in having 1 or more tattoos removed; 21.2% received a tattoo while intoxicated and 17.6% had a tattoo placed somewhere other than at a tattoo parlor; and 78.9% believe dermatologists are knowledgeable about the infectious and allergic complications of tattoos. CONCLUSION Given the rates of pruritic tattoos and tattoo regret, there is an opportunity, and trust among people with tattoos, for dermatologists to manage these complications.
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Tammaro A, Giulianelli V, Cortesi G, Abruzzese C, Narcisi A, Parisella FR, Persechino S. Inflammatory reaction to brown pigment in a tattoo. Int Wound J 2015; 13:1045-6. [PMID: 25585884 DOI: 10.1111/iwj.12397] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2014] [Accepted: 10/21/2014] [Indexed: 02/03/2023] Open
Affiliation(s)
- Antonella Tammaro
- NESMOS Department, Dermatology Unit, Sant'Andrea Hospital, Faculty of Medicine and Psychology, University of Rome 'Sapienza', Rome, Italy.
| | - Veronica Giulianelli
- NESMOS Department, Dermatology Unit, Sant'Andrea Hospital, Faculty of Medicine and Psychology, University of Rome 'Sapienza', Rome, Italy
| | - Giorgia Cortesi
- NESMOS Department, Dermatology Unit, Sant'Andrea Hospital, Faculty of Medicine and Psychology, University of Rome 'Sapienza', Rome, Italy
| | - Claudia Abruzzese
- NESMOS Department, Dermatology Unit, Sant'Andrea Hospital, Faculty of Medicine and Psychology, University of Rome 'Sapienza', Rome, Italy
| | - Alessandra Narcisi
- NESMOS Department, Dermatology Unit, Sant'Andrea Hospital, Faculty of Medicine and Psychology, University of Rome 'Sapienza', Rome, Italy
| | | | - Severino Persechino
- NESMOS Department, Dermatology Unit, Sant'Andrea Hospital, Faculty of Medicine and Psychology, University of Rome 'Sapienza', Rome, Italy
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Cutaneous tuberculosis overview and current treatment regimens. Tuberculosis (Edinb) 2014; 95:629-638. [PMID: 26616847 DOI: 10.1016/j.tube.2014.12.006] [Citation(s) in RCA: 121] [Impact Index Per Article: 12.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2014] [Accepted: 12/17/2014] [Indexed: 02/06/2023]
Abstract
Tuberculosis is one of the oldest diseases known to humankind and it is currently a worldwide threat with 8-9 million new active disease being reported every year. Among patients with co-infection of the human immunodeficiency virus (HIV), tuberculosis is ultimately responsible for the most deaths. Cutaneous tuberculosis (CTB) is uncommon, comprising 1-1.5% of all extra-pulmonary tuberculosis manifestations, which manifests only in 8.4-13.7% of all tuberculosis cases. A more accurate classification of CTB includes inoculation tuberculosis, tuberculosis from an endogenous source and haematogenous tuberculosis. There is furthermore a definite distinction between true CTB caused by Mycobacterium tuberculosis and CTB caused by atypical mycobacterium species. The lesions caused by mycobacterium species vary from small papules (e.g. primary inoculation tuberculosis) and warty lesions (e.g. tuberculosis verrucosa cutis) to massive ulcers (e.g. Buruli ulcer) and plaques (e.g. lupus vulgaris) that can be highly deformative. Treatment options for CTB are currently limited to conventional oral therapy and occasional surgical intervention in cases that require it. True CTB is treated with a combination of rifampicin, ethambutol, pyrazinamide, isoniazid and streptomycin that is tailored to individual needs. Atypical mycobacterium infections are mostly resistant to anti-tuberculous drugs and only respond to certain antibiotics. As in the case of pulmonary TB, various and relatively wide-ranging treatment regimens are available, although patient compliance is poor. The development of multi-drug and extremely drug-resistant strains has also threatened treatment outcomes. To date, no topical therapy for CTB has been identified and although conventional therapy has mostly shown positive results, there is a lack of other treatment regimens.
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Tattoo-associated skin reaction: the importance of an early diagnosis and proper treatment. BIOMED RESEARCH INTERNATIONAL 2014; 2014:354608. [PMID: 25147796 PMCID: PMC4132403 DOI: 10.1155/2014/354608] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/26/2014] [Revised: 06/21/2014] [Accepted: 07/09/2014] [Indexed: 11/17/2022]
Abstract
Tattoo is going to be a very common practice especially among young people and we are witnessing a gradual increase of numerous potential complications to tattoo placement which are often seen by physicians, but generally unknown to the public. The most common skin reactions to tattoo include a transient acute inflammatory reaction due to trauma of the skin with needles and medical complications such as superficial and deep local infections, systemic infections, allergic contact dermatitis, photodermatitis, granulomatous and lichenoid reactions, and skin diseases localized on tattooed area (eczema, psoriasis, lichen, and morphea). Next to these inflammatory skin reactions we have to consider also the possibility of the development of cutaneous conditions such as pseudolymphomatous reactions and pseudoepitheliomatous hyperplasia. The aim of this study is to underline the importance of an early diagnosis by performing a histological examination especially when we are in front of suspected papulonodular lesions arising from a tattoo, followed by a proper treatment, since cutaneous neoplastic evolution is known to be a rare but possible complication.
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24
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Tammaro A, Cortesi G, Narcisi A, Abruzzese C, Orsini D, Giulianelli V, Parisella FR, Battaglia V, Persechino S. An interesting case of oedema and ulceration in red areas of tattoo. Int Wound J 2014; 13:1025-6. [PMID: 25040457 DOI: 10.1111/iwj.12311] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2014] [Accepted: 05/14/2014] [Indexed: 01/21/2023] Open
Affiliation(s)
- Antonella Tammaro
- UOC Dermatology, NESMOS Department, Sant'Andrea Hospital, University of Rome Sapienza, Rome, Italy.
| | - Giorgia Cortesi
- UOC Dermatology, NESMOS Department, Sant'Andrea Hospital, University of Rome Sapienza, Rome, Italy
| | - Alessandra Narcisi
- UOC Dermatology, NESMOS Department, Sant'Andrea Hospital, University of Rome Sapienza, Rome, Italy
| | - Claudia Abruzzese
- UOC Dermatology, NESMOS Department, Sant'Andrea Hospital, University of Rome Sapienza, Rome, Italy
| | - Diego Orsini
- UOC Dermatology, NESMOS Department, Sant'Andrea Hospital, University of Rome Sapienza, Rome, Italy
| | - Veronica Giulianelli
- UOC Dermatology, NESMOS Department, Sant'Andrea Hospital, University of Rome Sapienza, Rome, Italy
| | | | | | - Severino Persechino
- UOC Dermatology, NESMOS Department, Sant'Andrea Hospital, University of Rome Sapienza, Rome, Italy
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25
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Carson HJ. The medium, not the message. How tattoos correlate with early mortality. Am J Clin Pathol 2014; 142:99-103. [PMID: 24926092 DOI: 10.1309/ajcpdoi32fwqlueo] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVES At autopsy, tattoos are recorded as part of the external examination. An investigation was undertaken to determine whether negative messages that are tattooed on a decedent may indicate a predisposition to certain fatal outcomes. METHODS Tattooed and nontattooed persons were classified by demography and forensics. Tattoos with negative or ominous messages were reviewed. Statistical comparisons were made. RESULTS The mean age of death for tattooed persons was 39 years, compared with 53 years for nontattooed persons (P = .0001). There was a significant contribution of negative messages in tattoos associated with nonnatural death (P = .0088) but not with natural death. However, the presence of any tattoo was more significant than the content of the tattoo. CONCLUSIONS Persons with tattoos appear to die earlier than those without. There may be an epiphenomenon between having tattoos and risk-taking behavior such as drug or alcohol use. A negative tattoo may suggest a predisposition to violent death but is eclipsed by the presence of any tattoo.
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