Type IV hypersensitivity reaction to a temporary tattoo
Source: www.baylorhealth.edu
Topic: Tattoo
Sort Desciption: of a temporary tattoo advertised as a “natural black henna tattoo.” The ... and can be found in some temporary tattoo inks. This case describes ...
Content Inside: 36 Proc (Bayl Univ Med Cent) 2007;20:36–38 A 6-year-old boy developed a skin eruption 10 days after application of a temporary tattoo advertised as a “natural black henna tattoo.” The eruption was a delayed hypersensitivity reaction to the tattoo ink. The textile dye paraphenylenediamine (PPD) is a common industrial allergen and can be found in some temporary tattoo inks. This case describes the reaction and reviews the international literature pertaining to PPD and temporary tattoos. A 6-year-old healthy Caucasian boy had a temporary tat- too applied by a street vendor while vacationing at a Texas beach resort. The tattoo was painted by a street artisan on the child’s upper right arm with a prepara- tion advertised as “black henna.” The artisan described the ink as an “all-natural product.” No injectable ink was used. The skin art was noted to have a very dark ebony pigment. Ten days after application of the black henna, the skin erupted in an erythematous papulovesicular weeping lesion. The eruption followed the contours of the tattoo (Figure 1) and was pruritic. The child had no prior history of atopy, eczema, or any allergic reactions. The eruption had been present for 1 week when the boy presented to his pediatrician for evaluation. The parents also indicated that his 4-year-old sister (Figure 2) and 5-year-old cousin had much smaller temporary tattoos by the same ven- dor, which displayed similar eruptions but on a smaller scale. A diagnosis of a type IV delayed hypersensitivity reaction was made. A course of topical 0.1% triamcinolone ointment twice a day for 3 weeks resolved the eruption (Figure 3). Postinflam- matory hypopigmentation, following the contours of the tattoo, persisted over the region. Type IV hypersensitivity reaction to a temporary tattoo Gregory Sonnen, MD From the Department of Pediatrics, Baylor University Medical Center, Dallas, Texas. Corresponding author:Gregory Sonnen,MD,Baylor Health Center at Mesq ...
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