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Focal salabrasion for removal of linear tattoos.

The use of a power-driven, cotton-tipped, wooden applicator permits precision salabrasion of small or linear tattoos. Such focal salabrasion is facilitated by prior removal of the overlying epidermis by means of a rotating dental burr.

Dermabrasion↗

Manual punch for tattooing.

We have devised and designed a manual instrument for tattooing with two shapes. It has been found to have certain advantages over the routinely used electrically operated machine. This instrument can be sterilized easily.

Humans↗

Lichenoid delayed hypersensitivity reactions in tattoos.

Two patients with an inflammatory reaction in a red tattoo had histopathologic changes of lichen planus. The lesions demonstrated a lymphocytic bandlike infiltrate, liquefaction degeneration, acanthosis, hypergranulosis, and orthokeratosis and many hyaline bodies. Metal particles were observed in the region of the dermal-epidermal reaction. This probably is another example of the lichenoid reaction produced by delayed cellular hypersensitivity.

Adult↗

Aluminum tattoo: a phenomenon that can resemble parasitized histiocytes.

We present a study of aluminum tattoos that resulted from aluminum chloride cauterization of biopsy sites. The stippled macrophages were studied by light and electron microscopy and by means of X-ray energy spectroscopy (XES) analysis. The light microscopic appearance may be striking, and may mimic the appearance of parasitized histiocytes, although the particles are larger and vary in size and shape. The basophilic particles are electron dense by electron microscopy. XES analysis demonstrated distinct emission peaks corresponding to aluminum, calcium, and phosphorus. Only a minor chloride emission peak was identified. The particles may represent an inorganic precipitate or an organic compound in which aluminum, calcium, and phosphate form a complex with protein.

Aluminum↗

Tattoo removal by surgery in a bloodless field.

Tattoo removal from the forearm often requires excision and split skin grafting. The authors propose the use of a bloodless field to facilitate accurate dermal peeling, to ensure complete removal of the pigment, and to reduce operative time.

Dermatologic Surgical Procedures↗

Tattoo pigment mimics positive sentinel lymph node in melanoma.

A 42-year-old man with metastasizing melanoma from an unknown primary is presented. Initially a subcutaneous metastasis in the scapular region and a single lung metastasis were resected. Thorough examinations did not show any evidence of a primary tumour. From the site of the metastasis on the right scapular region, lymphoscintigraphy with axillary sentinel lymph node biopsy was performed. One axillary lymph node could be identified intra-operatively with the gamma probe as sentinel node. The sentinel node and 4 adjacent lymph nodes clinically showed black pigmentation. However, histopathological examination of the lymph nodes did not detect micrometastases. The pigmentation of the lymph nodes was due to decorative tattoos of the scapular skin.

Adult↗

Intractable desquamative interstitial pneumonia in a tattooed man.

A 20-year-old man with a 15 pack-year history of cigarette smoking had a tattoo outlined on his back with blue pigment. He noticed a dry cough and shortness of breath on exertion when the pigment of other colors was added at the age of 27. He visited our hospital two years later because of severe dyspnea. He was diagnosed with desquamative interstitial pneumonia by surgical lung biopsy. Steroid therapy with cessation of smoking was partially effective, however his disease worsened again and he died three and a half years after the diagnosis because of respiratory failure.

Adult↗

Shift in Staphylococcus aureus clone linked to an infected tattoo.

A retrospective investigation of skin and soft tissue infections caused by community-associated methicillin-resistant Staphylococcus aureus (MRSA) strains among inmates in a Wisconsin correctional facility suggested a shift in MRSA genotype. Case timeline indicated a displacement of USA400 clone by USA300 clone. The USA300 index case was associated with an infected new tattoo.

Adult↗

[Tattooing and piercing in teenagers].

The presence of mutilations in the form of tattooing and body piercing is becoming increasingly common in adolescents, a practice that is not free of risk. Reported complications include local infections, bleeding, tearing, hypersensitivity reactions, transfusion-transmitted diseases (hepatitis B virus, hepatitis C virus, HIV, syphilis), Chagas' disease and infective endocarditis. On the other hand, several studies have demonstrated an association between body modifications and high-risk behavior in adolescents, as alcohol or drug abuse, cigarette smoking, violence and schooling problems. There is also an association with depression, suicide, eating disorders and other psychophysiologic disorders. This is a review of body modifications in adolescents, emphasizing in the risks, complications and motivations of this practice.

Adolescent↗

Acute hepatitis C virus infection in an Australian prison inmate: tattooing as a possible transmission route.

Clinically apparent hepatitis C virus (HCV) infection developed in a prison inmate after two tattooing episodes within the recognised incubation period for HCV infection. Seroconversion and HCV viraemia with subsequent resolution of hepatitis and loss of plasma viraemia were documented. Introducing licensed tattooists, and thereby improving infection control practices, may reduce the risk of hepatitis C virus infection in prisons.

Acute Disease↗

Modifying the body: piercing and tattoos.

This article examines body piercing and tattooing. The author describes the motives expressed by individuals undergoing these practices, the health and social consequences of body modification and the laws governing the procedures. The implications for healthcare professionals are also detailed.

Beauty↗

Body adornment: piercings and tattoos.

Body adornment through tattoos and piercings is on the increase, making adverse side effects more common. Practitioners should be prepared to give advice, either before the event, or post-procedure in written and oral forms. The aim of this article is to inform practitioners of the sites and types of piercings, likely adverse side effects and estimated healing times.

Adolescent↗

Temporary tattooing followed by Q-switched alexandrite laser for treatment of syringomas.

BACKGROUND: Syringomas usually develop in women as multiple skin-colored papules primarily seen on the periocular regions and cheeks. They can cause cosmetic problems and lead to poor self-esteem. Though several treatment modalities have been established, such as excision, electro/cryosurgery, chemical peeling, and CO2 laser surgery, none of them are satisfactory due to their limitations and side effects, for example, pain, prolonged healing time, postoperative erythema/pigmentary changes, and scarring. OBJECTIVE: The objective of this study was to develop a new treatment method for syringoma and to minimize the side effects through selective destruction of the tumor. METHODS: Six patients with multiple periorbital syringomas were enrolled in this study. The surface epithelium of the syringomas was vaporized by CO2 laser, and black ink was introduced in order to allow penetration to the dermis using iontophoresis. Subsequently the artificial tattoos were removed by Q-switched alexandrite laser. The results were evaluated clinically by both physicians and patients at 1, 2, 4, and 8 weeks after treatment. RESULTS: The majority of syringoma in the six patients disappeared by the first follow-up 1 week after treatment. There were no cases of prolonged erythema persisting beyond 2 weeks. Additional treatment was repeated in the same manner in order to remove the remaining syringomas in one patient. There were no recurrences during the 8-week follow-up period. CONCLUSION: Our new treatment was safer, less painful, nonscarring, and there was a quicker recovery period and less of a burden to repeat treatment when necessary.

Adult↗

[Diagnostic image (87). A tattooed woman with salpingitis].

In a 61-year-old woman uterus and adnexa were surgically removed because of endometrial carcinoma. In the tuba accumulation of pigment-laden macrophages was observed. She had been a victim of World War II concentration camp gynaecological experiments. Her left forearm showed the Auschwitz Jew tattoo.

Adenocarcinoma↗