Department of Skin & VD, Smt SCL General Hospital, Ahmedabad, India.
Department of Pathology, AMC MET Medical College, Ahmedabad, India.
J Cutan Pathol. 2021 Jul;48(7):870-876. doi: 10.1111/cup.13973. Epub 2021 Feb 17.
Tattooing has been around for many years and is becoming an increasingly common fashion trend. As there are often few regulatory laws regarding the practice, an increase in the incidence of cutaneous reactions to tattoo inks is noted. These include allergic reactions, granulomatous dermatitis, infections, lichenoid dermatoses, and sometimes malignancy. The present study examines the histopathological changes seen in patients with cutaneous reactions to tattoo ink.
A prospective observational study was conducted over 18 months in the dermatology clinic of a tertiary care center in western India. The study population included 22 patients with cutaneous reactions over the tattoos. Punch biopsy specimens were sent to study the pattern of histopathological response.
All 22 patients studied were between the ages of 17 and 35 years. The mean duration of development of reaction was 8.1 months. Most of the reactions were seen in black ink tattoos performed by amateurs. Perivascular and spongiotic dermatitis suggestive of allergic response was the most common feature on histopathology. Granulomatous response and lichenoid response were seen in five and three biopsies, respectively.
Legalization is needed for this practice to prevent tattoo reactions. Histopathological evaluation is important as tattoo reactions may be associated with skin infections and malignancies.
纹身已经存在多年，并且正在成为一种越来越流行的时尚趋势。由于通常很少有关于该实践的监管法规，因此纹身墨水引起的皮肤反应的发生率有所增加。这些包括过敏反应、肉芽肿性皮炎、感染、苔藓样皮肤病，有时甚至是恶性肿瘤。本研究检查了纹身墨水引起的皮肤反应患者的组织病理学变化。
在印度西部的一家三级护理中心的皮肤科诊所进行了为期 18 个月的前瞻性观察研究。研究人群包括 22 名有纹身皮肤反应的患者。进行打孔活检以研究组织病理学反应的模式。
研究的 22 名患者年龄均在 17 至 35 岁之间。反应的平均发展时间为 8.1 个月。大多数反应发生在业余爱好者进行的黑色墨水纹身中。组织病理学上最常见的特征是提示过敏反应的血管周围和海绵状皮炎。肉芽肿反应和苔藓样反应分别在 5 次和 3 次活检中可见。
需要对此做法进行合法化，以防止纹身反应。组织病理学评估很重要，因为纹身反应可能与皮肤感染和恶性肿瘤有关。
