De Cuyper Christa
Dermatology, AZ Sint-Jan Brugge-Oostende AV, Meiboomstraat 15, 8370 Blankenberge, Belgium.
Presse Med. 2020 Dec;49(4):104047. doi: 10.1016/j.lpm.2020.104047. Epub 2020 Aug 5.
Allergic reactions in tattoos and permanent make-up are rare but they could be problematic. The clinical presentation and the histopathology are diverse and often confusing. Symptomatic treatment is frequently unsuccessful and invasive techniques can be required. Patch testing to identify the causative allergen is disappointing. The composition of the inks is complex; organic and inorganic colorants, auxiliary components and by-products must be considered. Physical factors such as ultraviolet and laser irradiation could play a role in haptenization of colorants in the skin. Clinical observation and advanced diagnostic methods can be helpful in the diagnosis. Preventive systematic skin testing with tattoo inks, apart from being time-consuming and expensive, is useless.
纹身和纹眉中的过敏反应虽罕见但可能会引发问题。其临床表现和组织病理学表现多样，常常令人困惑。对症治疗往往效果不佳，可能需要采用侵入性技术。通过斑贴试验来确定致敏原往往不尽人意。纹身颜料的成分复杂，必须考虑有机和无机色素、辅助成分及副产物。紫外线和激光照射等物理因素可能在皮肤中色素半抗原化过程中起作用。临床观察和先进的诊断方法有助于诊断。除了耗时且昂贵外，用纹身颜料进行预防性系统性皮肤测试并无用处。
