Generalized eczematous reaction after fractional carbon dioxide laser therapy for tattoo allergy.
Allergic tattoo reactions form a therapeutically difficult entity. Treatment with conventional quality-switched lasers does not completely remove the allergenic particles and may lead to generalized hypersensitivity reactions. Recently, ablative fractional laser therapy was introduced as a treatment for allergic tattoo removal. We present two cases of allergic reactions to red tattoo ink treated with 10,600-nm fractional CO2laser. At the end of treatment, almost complete removal of red ink accompanied by a significant reduction of symptoms was observed in the first patient, whereas the second patient developed an acute generalized eczematous reaction after five treatments. These findings confirm that ablative fractional laser therapy is capable of significant removal of tattoo ink in an allergic tattoo reaction. However, it implies a risk of generalized hypersensitivity reactions. To our knowledge, this is the first case of a generalized hypersensitivity reaction following treatment of tattoo allergy with the fractional CO2laser.
a Netherlands Institute for Pigment Disorders (SNIP), Department of Dermatology , Academic Medical Centre, University of Amsterdam , Amsterdam , the Netherlands.
Arne A
AA
Meesters
b Department of Dermatology , Academic Medical Centre, University of Amsterdam , Amsterdam , the Netherlands.|c Department of Dermatology , VU Medical Centre, VU University , Amsterdam , the Netherlands.
Menno A
MA
De Rie
a Netherlands Institute for Pigment Disorders (SNIP), Department of Dermatology , Academic Medical Centre, University of Amsterdam , Amsterdam , the Netherlands.|b Department of Dermatology , Academic Medical Centre, University of Amsterdam , Amsterdam , the Netherlands.
Albert
A
Wolkerstorfer
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D006967:Hypersensitivity / Q000209:etiology* / Q000532:radiotherapy*; D054020:Lasers, Gas / Q000009:adverse effects / Q000627:therapeutic use*; D028022:Low-Level Light Therapy / Q000009:adverse effects / Q000379:methods*; D013653:Tattooing / Q000009:adverse effects*
Contact dermatitis; fractional CO2 laser; tattoo