Grodner C, Beauchet A, Kluger N, Fougerousse A-C, Cinotti E, Lacarrubba F, Amy de la Bretèque M, Quiles-Tsimaratos N, Mahé E
Service de dermatologie, hôpital Victor-Dupouy, 69, rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France.
Département de santé publique, centre hospitalier universitaire Ambroise-Paré, Assistance publique-Hôpitaux de Paris, 9, avenue Charles de Gaulle, 92100 Boulogne-Billancourt, France.
Ann Dermatol Venereol. 2020 Dec;147(12):809-817. doi: 10.1016/j.annder.2020.07.008. Epub 2020 Sep 28.
Tattoos are an increasingly common phenomenon, with a prevalence of around 10-30 % of the population in Western countries. The "Tatou" project assessed the risks of tattooing for patients with psoriasis. The first part revealed strong opposition to tattoos in these patients on the part of dermatologists, despite fewer than a quarter of them having any personal experience of complications. The second part showed a very low rate (6.6 %) of local complications on tattoos in these patients as well as absence of severe complications. These observations led us to assess the reasons for reluctance about tattoos in the 468 dermatologists involved in the first part of the "Tatou" project.
We conducted a cross-sectional international study in France, Finland and Italy to evaluate the experience and opinions of dermatologists regarding tattoos in psoriasis patients via an anonymous questionnaire. We then examined the stated reasons for opposition to tattoos in order to establish the profiles of "tattoo-sceptical" dermatologists with regard to 4 different situations: active psoriasis, quiescent psoriasis, treatment with topical steroids and biotherapies.
The opinion of dermatologists regarding tattoos was generally unfavourable (3.5±2.8/10), in particular, via multivariate analysis, among older dermatologists (P=0.01), dermatologists in private practice (P=0.04), and non-tattooed dermatologists (P<0.0001). In multivariate analysis, the main parameter affecting the position of practitioner with regard to tattoos was their personal opinion of tattoos (P<0.0001), regardless of disease activity or type of treatment. Italian, Finnish and female dermatologists exhibited greater reluctance but in a less consistent fashion.
This analysis suggests a lack of objectivity among dermatologists opposed to tattoos probably stemming more from a poor opinion of this practice than from any fear of complications in their psoriatic patients.
纹身现象日益普遍，在西方国家，纹身人群的比例约为10% - 30%。“纹身”项目评估了纹身对银屑病患者的风险。第一部分研究显示，尽管皮肤科医生中不到四分之一的人有过并发症的亲身经历，但他们强烈反对银屑病患者纹身。第二部分研究表明，这些患者纹身的局部并发症发生率很低（6.6%），且未出现严重并发症。这些观察结果促使我们评估参与“纹身”项目第一部分研究的468名皮肤科医生对纹身持反对态度的原因。
我们在法国、芬兰和意大利开展了一项横断面国际研究，通过匿名问卷评估皮肤科医生对银屑病患者纹身的经验和看法。然后，我们研究了他们反对纹身的既定原因，以便确定在4种不同情况下“对纹身持怀疑态度”的皮肤科医生的特征：活动性银屑病、静止期银屑病、外用类固醇治疗和生物治疗。
皮肤科医生对纹身的看法总体上是负面的（3.5±2.8/10），特别是通过多变量分析发现，年长的皮肤科医生（P = 0.01）、私人执业的皮肤科医生（P = 0.04）和未纹身的皮肤科医生（P < 0.0001）反对更为强烈。在多变量分析中，影响医生对纹身态度的主要参数是他们对纹身的个人看法（P < 0.0001），与疾病活动或治疗类型无关。意大利、芬兰的皮肤科医生以及女皮肤科医生表现出更大的抵触情绪，但不太一致。
该分析表明，反对纹身的皮肤科医生缺乏客观性，这可能更多地源于他们对纹身这种行为的不良看法，而非担心银屑病患者会出现并发症。
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