Supplementary Material for: Classification of Tattoo Complications in a Hospital Material of 493 Adverse Events
Serup J.
Sepehri M.
Hutton Carlsen K.
10.6084/m9.figshare.4326440.v1
https://karger.figshare.com/articles/dataset/Supplementary_Material_for_Classification_of_Tattoo_Complications_in_a_Hospital_Material_of_493_Adverse_Events/4326440
<p><b><i>Background/Aims:</i></b> Tattooing is a global trend. Clinical
knowledge of complications is based on case reports collected over a
century. Larger cohorts reflecting complications associated with
contemporary trends are lacking. <b><i>Methods:</i></b> The study was a
retrospective review of a consecutive cohort of patients with tattoo
complications diagnosed in the “Tattoo Clinic“ of Bispebjerg University
Hospital in Copenhagen, Denmark, from 2008 to 2015, based on patient
history and systematic clinical examination. <b><i>Results:</i></b> A
total of 493 tattoo complications in 405 patients were studied. Overall,
184 (37%) presented allergic reactions with plaque elevation in 32.2%,
excessive hyperkeratosis in 3.7%, and ulceration in 1.4%, predominantly
observed in red tattoos and nuances of red; 66 (13%) presented
papulo-nodular reactions, mainly observed in black tattoos (considered
non-allergic) and due to pigment agglomeration; 53 (11%) had bacterial
infections; 46 (9%) were psycho-social complications; 144 (30%) belonged
to several specific diagnostic entities, including photosensitivity,
pain syndrome, and lymphopathy. We found no cases of cutaneous or other
malignancies. Sarcoidosis was primarily seen in black tattoos and was a
common associated disease, found in 23 reactions (5%), compared to the
background population. <b><i>Conclusion:</i></b> The study introduces a
new concept of classification of tattoo complications based on simple
tools such as patient history and objective findings supplemented with
histology. The study reflects complications originating from presently
used tattoo inks, often with organic pigments. The introduced
classification has been submitted to the World Health Organisation (WHO)
as a proposal to the 11th revision of the International Classification
of Diseases.</p>
2016-12-14 15:20:21
Tattoo
Complication
Allergy
Infection
Sarcoidosis
Pigments
Ink
Health problems
Diagnosis
Classification