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[对红色纹身墨水的超敏反应,一例病例报告]

[Hipersensibility to red tattoo ink, review of a case].

作者信息

Rojo-Rodríguez Bárbara Isamara, Verazaluce-Rodríguez Blanca Elena, Alcalá-Adame Samira Viridiana, Vargas-Montes José de Jesús, Barboza-García Yesica Guadalupe, Pascual-Jiménez Daniel

机构信息

Instituto Mexicano del Seguro Social, Unidad de Alta Especialidad Centro Médico Nacional del Bajío, Servicio de Medicina Interna. León, Guanajuato, México.

Instituto Mexicano del Seguro Social, Unidad de Alta Especialidad Centro Médico Nacional del Bajío, Servicio de Dermatología. León, Guanajuato, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2023 Jul 31;61(4):509-515. doi: 10.5281/zenodo.8200559.

DOI:10.5281/zenodo.8200559
PMID:37540730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10484541/
Abstract

INTRODUCTION

The hypersensitivity reaction associated with tattoo ink and its management represent a growing challenge, despite having precedents in diagnostic and treatment experience in other reports or case series in recent decades, no one has been found homogeneous offer that is effective and safe. Therefore, a review is presented with what has been described in pathophysiological theories, as well as therapeutic proposals and the response found in related cases that have been reported to date.

CLINICAL CASE

30-year-old male, with dermatosis located on the right upper extremity, affecting the inner side of the forearm and the outer side of the arm, unilateral, asymmetric, monomorphic in appearance, made up of an artificial macula, caused by red ink (tattoo), with development of papular-like lesions in original trace, pruritic, referred evolution time of one month. Tattoo completion time of 5 and 2 years on the outer side of the right arm and inner side of the ipsilateral forearm, respectively.

CONCLUSIONS

According to antecedents in other reports and case series, including the experience of our patient, there is no proven efficacy with the use of topical immunomodulators, in turn, patients who shows complete improvement until the elimination of the allergen, either from excisional or laser.

摘要

引言

与纹身墨水相关的超敏反应及其管理是一个日益严峻的挑战,尽管近几十年来在其他报告或病例系列中有诊断和治疗经验的先例,但尚未发现有效且安全的统一治疗方法。因此,本文综述了病理生理理论中所描述的内容,以及治疗建议和迄今为止报道的相关病例中的治疗反应。

临床病例

一名30岁男性,右上肢患有皮肤病,累及前臂内侧和上臂外侧,单侧、不对称、外观单一形态,由红色墨水(纹身)引起的人工斑疹组成,在原痕迹处出现丘疹样病变,瘙痒,病程一个月。纹身完成时间分别为右臂外侧5年和同侧前臂内侧2年。

结论

根据其他报告和病例系列中的先例,包括我们患者的经验,外用免疫调节剂的使用尚未证实有效,相反,无论是通过手术切除还是激光去除过敏原,患者均显示出完全改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdf5/10484541/e53ef17b4105/04435117-61-4-516-c001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdf5/10484541/46ace329971f/04435117-61-4-516-f001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdf5/10484541/e53ef17b4105/04435117-61-4-516-c001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdf5/10484541/46ace329971f/04435117-61-4-516-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdf5/10484541/1d25c31b0084/04435117-61-4-516-f002.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdf5/10484541/8fe539ebc798/04435117-61-4-516-f006.jpg
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本文引用的文献

1
Current knowledge of the degradation products of tattoo pigments by sunlight, laser irradiation and metabolism: a systematic review.当前对阳光、激光辐射和新陈代谢导致纹身颜料降解产物的认识:系统评价。
J Expo Sci Environ Epidemiol. 2022 May;32(3):343-355. doi: 10.1038/s41370-021-00364-y. Epub 2021 Jul 17.
2
Tattoo allergy. Can we identify the allergen?纹身过敏。我们能识别出过敏原吗?
Presse Med. 2020 Dec;49(4):104047. doi: 10.1016/j.lpm.2020.104047. Epub 2020 Aug 5.
3
Diagnostic Approach for Suspected Allergic Cutaneous Reaction to a Permanent Tattoo.
疑似永久性纹身过敏的诊断方法。
J Investig Allergol Clin Immunol. 2019;29(6):405-413. doi: 10.18176/jiaci.0383. Epub 2019 Apr 1.
4
Granuloma Annulare-Like Granulomatous Reaction to Red Tattoo Pigment.对红色纹身颜料的环状肉芽肿样肉芽肿反应。
J Cutan Med Surg. 2018 Nov/Dec;22(6):618-620. doi: 10.1177/1203475418771614. Epub 2018 Apr 16.
5
Allergic reaction to 3 tattoo inks containing Pigment Yellow 65.对3种含颜料黄65的纹身墨水的过敏反应。
Contact Dermatitis. 2018 Aug;79(2):107-108. doi: 10.1111/cod.13004. Epub 2018 Apr 10.
6
Treatment of reaction to red tattoo ink with intralesional triamcinolone.皮损内注射曲安奈德治疗红色纹身墨水反应
An Bras Dermatol. 2017 Sep-Oct;92(5):748-750. doi: 10.1590/abd1806-4841.20176678.
7
Diagnostic Tools for Doctors' Evaluation of Tattoo Complications.医生评估纹身并发症的诊断工具
Curr Probl Dermatol. 2017;52:42-57. doi: 10.1159/000450778. Epub 2017 Mar 13.
8
How to Diagnose and Classify Tattoo Complications in the Clinic: A System of Distinctive Patterns.如何在临床上诊断和分类纹身并发症:一种独特模式系统
Curr Probl Dermatol. 2017;52:58-73. doi: 10.1159/000450780. Epub 2017 Mar 10.
9
Three-Dimensional Strawberry Tattoo.三维草莓纹身。
Actas Dermosifiliogr. 2017 Dec;108(10):950. doi: 10.1016/j.ad.2016.07.028. Epub 2017 Feb 24.
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Tattoo in 3 dimensions, foreign body granuloma.三维纹身,异物肉芽肿。
Med Clin (Barc). 2017 Mar 22;148(6):e35. doi: 10.1016/j.medcli.2016.05.039. Epub 2016 Jul 20.