Academic Tattoo Clinic Amsterdam, Department of Dermatology, Amsterdam University Medical Centre, Location AMC, Meibergdreef 9, 2205 AZ, Amsterdam, The Netherlands.
Lasers Med Sci. 2021 Aug;36(6):1241-1248. doi: 10.1007/s10103-020-03164-2. Epub 2020 Oct 26.
Patients with allergic tattoo reactions are burdened with itch and have a reduced quality of life. Conservative treatment is often insufficient and little is known about treatment options to remove the responsible allergen. We aimed to address the effectiveness and safety of ablative laser therapy including measurement of patient's satisfaction, in patients with allergic reactions to tattoos. A retrospective study was conducted including patients with allergic tattoo reactions who were treated with a 10,600 nm ablative CO laser, either by full-surface ablation or fractional ablation. Clinical information originated from medical files and a 25-item questionnaire. Sixteen tattoo allergy patients were treated with a CO laser between January 2010 and January 2018. Fourteen patients completed the questionnaire. Ten patients were satisfied with laser treatment. On a visual analogue scale, pruritus and burning improved with a median of 5.5 and 4 points in the full surface ablation group and 3 points on both parameters in the fractional ablation group. Despite the relatively small group of patients, our results suggest that CO laser ablation improves itching, burning and impact on daily life in tattoo allergy.
患有过敏性纹身反应的患者会感到瘙痒，生活质量下降。保守治疗往往效果不佳，对于去除致敏原的治疗选择知之甚少。我们旨在评估 10600nm 消融 CO2 激光治疗包括评估患者满意度在内的对纹身过敏患者的有效性和安全性。本研究回顾性分析了 2010 年 1 月至 2018 年 1 月期间采用全表面消融或分束消融 CO2 激光治疗的 16 例过敏性纹身反应患者。临床信息来源于病历和 25 项问卷调查。14 例患者完成了问卷调查。10 例患者对激光治疗满意。在视觉模拟评分中，全表面消融组瘙痒和烧灼感分别改善了 5.5 分和 4 分，分束消融组在这两个参数上均改善了 3 分。尽管患者数量相对较少，但我们的结果表明 CO2 激光消融可改善纹身过敏患者的瘙痒、烧灼感和日常生活影响。
