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Image Number #8689 (Tattoo reaction)

Diagnosis: Tattoo reaction

Description: Prominance of the red portion of the Tattoo

Morphology: Red,nonscaly

Site: Arm,upper

Sex: F

Age: 46

Type: Clinical

Submitted By: Ian McColl

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Differential Diagnosis
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History:

Case of Dr J Davis - 46yo woman with change in tattoo.
Red area in rose has become raised and very itchy despite being over 5years old. Surrounding skin is normal. No rash elsewhere. Has multiple other tattoos and none of them are effected. Otherwise well. Can she become sensitised to the red pigment after all these years? Appreciate ideas on diagnosis and management please. Have treated with elocon initially- will that effect the colour? Thanks.

 



 

Case Comments     [Add Comment] [Subscribe]
Yes you can have a delayed reaction to tattoo after all these years and sometimes just to a specific colour. A strong steroid such as Diprosone OV carefully applied will help as will some diluted Kenacort at 2.5 mgs per ml injected dermal around the involved area. Great images.
This will be a granulomatous reaction to mercury in the red pigment or cinnabar. See this Dermnet reference on Tatoo reactions (Submitted By: Dr Ian McColl)

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Final Diagnosis

Tatoo reaction, Great case

DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Tattoo reaction"

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