Evidence map›Paper›PMID 31451117›Full record

ArticleParticle and fibre toxicology2019

Distribution of nickel and chromium containing particles from tattoo needle wear in humans and its possible impact on allergic reactions.

Ines Schreiver, Bernhard Hesse, Christian Seim, Hiram Castillo-Michel, Lars Anklamm, Julie Villanova, Nadine Dreiack, Adrien Lagrange, Randolph Penning, Christa De Cuyper and 4 more

Open access · goldAbstract read
In one paragraph

Article in Particle and fibre toxicology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
91.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Is tattooing associated with an increased risk of cancer? A systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  19. [Tattoo and sarcoidosis reaction].Bulletin de l'Academie nationale de medecine · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 2 countries.

Ines SchreiverDepartment of Chemical and Product Safety, German Federal Institute for Risk Assessment (BfR), Max-Dohrn-Strasse 8-10, 10589, Berlin, Germany. ines.schreiver@bfr.bund.de.ORCID 0000-0001-9313-7193
Bernhard HesseThe European Synchrotron, CS 40220, 38043, Grenoble Cedex 9, France.
Christian SeimXploraytion GmbH, Bismarckstrasse 10-12, 10625, Berlin, Germany.
Hiram Castillo-MichelThe European Synchrotron, CS 40220, 38043, Grenoble Cedex 9, France.
Lars AnklammHelmut Fischer GmbH Institut für Elektronik und Messtechnik, Industriestrasse 21, 71069, Sindelfingen, Germany.
Julie VillanovaThe European Synchrotron, CS 40220, 38043, Grenoble Cedex 9, France.
Nadine DreiackDepartment of Chemical and Product Safety, German Federal Institute for Risk Assessment (BfR), Max-Dohrn-Strasse 8-10, 10589, Berlin, Germany.
Adrien LagrangeXploraytion GmbH, Bismarckstrasse 10-12, 10625, Berlin, Germany.
Randolph PenningInstitute of Forensic Medicine, Ludwig-Maximilians University, Nussbaumstrasse 26, 80336, Munich, Germany.
Christa De CuyperDermatology, Meiboomstraat 15, Blankenberge, 8370, Belgium.
Remi TucoulouThe European Synchrotron, CS 40220, 38043, Grenoble Cedex 9, France.
Wolfgang BäumlerDepartment of Dermatology, University of Regensburg, Franz Josef Strauß Allee 11, 93042, Regensburg, Germany.
Marine CotteThe European Synchrotron, CS 40220, 38043, Grenoble Cedex 9, France.
Andreas LuchDepartment of Chemical and Product Safety, German Federal Institute for Risk Assessment (BfR), Max-Dohrn-Strasse 8-10, 10589, Berlin, Germany.
European Synchrotron Radiation Facility · FRFederal Institute for Risk Assessment · DECentre National de la Recherche Scientifique · FRFischer (Germany) · DELudwig-Maximilians-Universität München · DEPhysikalisch-Technische Bundesanstalt · DETechnische Universität Berlin · DEUniversity of Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAllergic reactions to tattoos are amongst the most common side effects occurring with this permanent deposition of pigments into the dermal skin layer. The characterization of such pigments and their distribution has been investigated in recent decades. The health impact of tattoo equipment on the extensive number of people with inked skin has been the focus of neither research nor medical diagnostics. Although tattoo needles contain high amounts of sensitizing elements like nickel (Ni) and chromium (Cr), their influence on metal deposition in skin has never been investigated.

resultsHere, we report the deposition of nano- and micrometer sized tattoo needle wear particles in human skin that translocate to lymph nodes. Usually tattoo needles contain nickel (6-8%) and chromium (15-20%) both of which prompt a high rate of sensitization in the general population. As verified in pig skin, wear significantly increased upon tattooing with the suspected abrasive titanium dioxide white when compared to carbon black pigment. Additionally, scanning electron microscopy of the tattoo needle revealed a high wear after tattooing with ink containing titanium dioxide. The investigation of a skin biopsy obtained from a nickel sensitized patient with type IV allergy toward a tattoo showed both wear particles and iron pigments contaminated with nickel.

conclusionPreviously, the virtually inevitable nickel contamination of iron pigments was suspected to be responsible for nickel-driven tattoo allergies. The evidence from our study clearly points to an additional entry of nickel to both skin and lymph nodes originating from tattoo needle wear with an as yet to be assessed impact on tattoo allergy formation and systemic sensitization.

Indexed as

AnimalsChromiumColoring AgentsHumansHypersensitivityInkIn Vitro TechniquesLymph NodesNanoparticlesNeedlesNickelParticle SizeSkinSwineTattooingTissue DistributionChromiumColoring AgentsNickelTitaniumtitanium dioxideAllergyMetallic wearNickelSynchrotronTattooTitanium dioxideXRF

Identifiers

PMID31451117
PMCPMC6710876
OpenAlexW2970795148

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.