黑色指甲花染料纹身引起的迟发型超敏反应，表现为严重的面部肿胀。

Delayed hypersensitivity reaction from black henna tattoo manifesting as severe facial swelling.

作者信息

Shavit Itai, Hoffmann Yoav, Shachor-Meyouhas Yael, Knaani-Levinz Hadas

机构信息

Emergency Department, Meyer Children's Hospital, Rambam Health Care Campus, Haifa, Israel.

出版信息

Am J Emerg Med. 2008 May;26(4):515.e3-4. doi: 10.1016/j.ajem.2007.08.010.

DOI:10.1016/j.ajem.2007.08.010

PMID:18410830

Abstract

We report on a 14-year-old boy who was presented to the emergency department with an acute swelling of the face and scalp 3 days after using a new hair dye. The patient had applied a black henna tattoo 1 year earlier. Patch testing revealed an allergy to the potent skin sensitizer paraphenylenediamine, a common ingredient of hair dyes and also found in black henna tattoo. It is important for emergency physicians to be aware of the possibility of a delayed type-IV hypersensitivity reaction from black henna tattoos manifesting as an acute contact dermatitis. These patients may have gross facial swelling but should not be treated for angioedema.

摘要

我们报告了一名14岁男孩，他在使用一种新染发剂3天后因面部和头皮急性肿胀被送往急诊科。该患者1年前曾使用过黑色指甲花染料纹身。斑贴试验显示对强效皮肤致敏剂对苯二胺过敏，对苯二胺是染发剂的常见成分，也存在于黑色指甲花染料纹身中。对于急诊医生来说，重要的是要意识到黑色指甲花染料纹身可能引发迟发性IV型超敏反应，表现为急性接触性皮炎。这些患者可能会出现面部严重肿胀，但不应按血管性水肿进行治疗。