Othman Sammy, Elfanagely Omar, Klifto Kevin, Fowler Cody, Pugliese Douglas J, Kovach Stephen J
Northwell Health, New Hyde Park, New York, NY.
Division of Plastic Surgery, Department of Surgery, University of Pennsylvania; Philadelphia, PA.
Eplasty. 2022 May 12;22:e15. eCollection 2022.
Hypersensitivity reaction in a tattoo secondary to red ink is a relatively rare complication, particularly as the biochemical composition of tattoo dye has been refined. Most hypersensitivity reactions are amenable to conservative management, but less common is the necessity for full surgical excision and reconstruction.
A 50-year-old female patient with a chronic tattoo granuloma causing excessive pruritus, erythema, and ulceration, refractory to conservative and minimally invasive techniques, underwent full surgical excision and skin-graft reconstruction of the areas affected by the red dye. Additionally, literature was reviewed for similar reports requiring excision.
The patient reports complete symptomatic resolution and satisfaction with the result. The literature reveals a small set of cases reporting a necessity for surgical excision following red-ink hypersensitivity.
Tattoo hypersensitivity secondary to a red ink-induced allergic reaction is relatively rare. Most cases are amenable to conservative treatment; however, surgical excision and reconstruction provides a viable option in cases refractory to traditional and less invasive management.
纹身中因红色墨水引发的超敏反应是一种相对罕见的并发症，尤其是随着纹身染料的生化成分不断优化。大多数超敏反应可采用保守治疗，但需要进行完全手术切除和重建的情况则较为少见。
一名50岁女性患者患有慢性纹身肉芽肿，导致严重瘙痒、红斑和溃疡，保守及微创技术均无效，遂对受红色染料影响的区域进行了完全手术切除及植皮重建。此外，还查阅了文献以寻找类似的需要切除的报告。
患者报告症状完全缓解，对结果满意。文献显示有一小部分病例报告了红色墨水超敏反应后需要手术切除的情况。
红色墨水引起的过敏反应继发的纹身超敏反应相对罕见。大多数病例适合保守治疗；然而，在传统和微创治疗无效的情况下，手术切除和重建是一种可行的选择。
