1. Tattoo complications in treated and non‐treated psoriatic patients
- Author
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E. Mahé, S. Marc, C. Grodner, B. Solyga, J. Delaunay, A. Beauchet, M. Kemula, Nicolas Kluger, J.-L. Perrot, Anne-Claire Fougerousse, C. Jacobzone, J. Parier, Céline Girard, P. Bilan, C. Boulard, H. Barthelemy, M. Ruer-Mulard, D. Bouilly-Auvray, H. Aubert, Nathalie Beneton, M. Steff, Guillaume Chaby, L. Mery-Bossard, François Maccari, A.‐L. Liégeon, D. Pourchot, A. Vermersch-Langlin, Ab. Duval-Modeste, N. Quiles-Tsimaratos, D. Thomas-Beaulieu, HUS Inflammation Center, Department of Dermatology, Allergology and Venereology, University of Helsinki, and Clinicum
- Subjects
Adult ,Male ,medicine.medical_specialty ,Allergy ,BLACK ,Koebner phenomenon ,Dermatology ,Disease ,medicine.disease_cause ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Psoriasis ,medicine ,Humans ,In patient ,030203 arthritis & rheumatology ,Tattooing ,business.industry ,Middle Aged ,SERIES ,medicine.disease ,3. Good health ,Cross-Sectional Studies ,Infectious Diseases ,DEMOGRAPHICS ,3121 General medicine, internal medicine and other clinical medicine ,Granuloma ,Superinfection ,Female ,France ,Objective information ,business - Abstract
Background Tattooing is a widespread phenomenon, with an estimated prevalence of 10-30% in Western populations. For psoriasis patients, current recommendations are to avoid having a tattoo if the disease is active and they are receiving immunosuppressive treatments. Although scientific data supporting these recommendations are lacking, dermatologists are often reluctant to advocate tattooing in psoriasis patients. Objective We aimed to evaluate the frequency of tattoo complications in patients with psoriasis and determine whether the occurrence of complications was associated with psoriasis status and treatments received at the time of tattooing. Methods We performed a multicentre cross-sectional study. Adults with psoriasis were consecutively included and classified as tattooed or non-tattooed. Prevalence of complications associated with tattoos was then evaluated according to psoriasis onset and treatments. The study was divided into three parts, in which data were collected through a series of questionnaires filled in by the dermatologist. Complications included pruritus, oedema, allergic reaction/eczema, infection/superinfection, granuloma, lichenification, photosensitivity, Koebner phenomenon and psoriasis flare after tattooing. Diagnosis of complications was made retrospectively. Results We included 2053 psoriatic patients, 20.2% had 894 tattoos. Amongst non-tattooed patients, 15.4% had wished to be tattooed, with psoriasis being stated as a reason for not having a tattoo by 44.0% and 5.7% indicating that they planned to have a tattoo in the future. Local complications, such as oedema, pruritus, allergy and Koebner phenomenon, were reported in tattoos in 6.6%, most frequently in patients with psoriasis requiring treatment at the time of tattooing (P
- Published
- 2020