Temporary tattoo dermatitis

Autor: Allen N. Sapadin, Jeffrey R. Boscamp, Robert J. Leggiadro
Rok vydání: 2003
Předmět:
Zdroj: The Journal of Pediatrics. 142:586
ISSN: 0022-3476
Popis: Dermatologic conditions are common among persons who have recently traveled. 1 We share our recent experience with a young traveler in whom an allergic contact dermatitis to henna developed. While on vacation in the Dominican Republic, an 11-year-old boy had temporary henna tattoos applied to his upper arms bilaterally by a street artist. Two weeks later an erythematous, pruritic rash developed at the tattoo sites. He was seen by his pediatrician, who prescribed topical steroid therapy with fluticasone propionate ointment, oral prednisone, and cetirizine. On referral, examination revealed erythematous patches with accentuation at the borders of the tattoo sites (Figure). In addition, erythematous papules were clustered on the upper chest, face and extensor aspects of the extremities. A biopsy specimen taken from the left wrist revealed spongiotic dermatitis, subacute type with eosinophilia suggesting an id reaction. At follow-up examination one week later, the eruption had cleared completely. Henna is derived from the Lawsonia tree, which grows in the hot climates of India, the Middle East, and North Africa. 2 Skin painting or pseudotattooing is traditionally performed with henna or other labile vegetable substances, primarily in Muslim and Hindu persons. 3 Temporary henna tattoos are becoming more popular, especially among teenagers and travelers, resulting in more extensive henna use worldwide. 4 Allergic and irritant reactions are rare with henna, which is relatively safe. However, additives such as paraphenylenediamine, a well recognized contact allergen that is sometimes mixed with henna to impart color to the pure reddish-brown paste, may result in more common reactions to henna tattooing.
Databáze: OpenAIRE