Evidence map›Paper›PMID 31626330›Full record

ArticleContact dermatitis2020

Identification of pigments related to allergic tattoo reactions in 104 human skin biopsies.

Jørgen Serup, Katrina Hutton Carlsen, Nils Dommershausen, Mitra Sepehri, Bernhard Hesse, Christian Seim, Andreas Luch, Ines Schreiver

Open access · hybridAbstract read
In one paragraph

Article in Contact dermatitis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
81.4field-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

21 citing papers in PubMed, 79 citations in OpenAlex.

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  13. Lymphatic Alterations Under Tattoos: Preliminary Reports of One Observational Study.Clinical, cosmetic and investigational dermatology · 2023
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  19. High-frequency (20 MHz) high-intensity focused ultrasound: New ablative method for color-independent tattoo removal in 1-3 sessions. An open-label exploratory study.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 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

8 authors at 5 institutions in 3 countries.

Jørgen SerupDepartment of Dermatology, The "Tattoo Clinic", Bispebjerg University Hospital, Copenhagen, Denmark.
Katrina Hutton CarlsenDepartment of Dermatology, The "Tattoo Clinic", Bispebjerg University Hospital, Copenhagen, Denmark.ORCID https://orcid.org/0000-0003-4183-0580
Nils DommershausenDepartment of Chemical and Product Safety, German Federal Institute for Risk Assessment (BfR), Berlin, Germany.
Mitra SepehriDepartment of Plastic and Reconstructive Surgery, Herlev University Hospital, Herlev, Denmark.
Bernhard HesseThe European Synchrotron (ESRF), Grenoble Cedex 9, France.ORCID https://orcid.org/0000-0001-9106-8980
Christian SeimXploraytion GmbH, Berlin, Germany.ORCID https://orcid.org/0000-0002-4866-1663
Andreas LuchDepartment of Chemical and Product Safety, German Federal Institute for Risk Assessment (BfR), Berlin, Germany.ORCID https://orcid.org/0000-0002-5866-901X
Ines SchreiverDepartment of Chemical and Product Safety, German Federal Institute for Risk Assessment (BfR), Berlin, Germany.ORCID https://orcid.org/0000-0001-9313-7193
Federal Institute for Risk Assessment · DEBispebjerg Hospital · DKDe Gruyter Brill (Germany) · DEEuropean Synchrotron Radiation Facility · FRHerlev Hospital · DK

Funding

German Federal Institute for Risk Assessment (BfR) Intramural research project (SFP #1322-604)
6 · The paper itself

Abstract

backgroundRed tattoos are prone to allergic reactions. The identity of the allergen(s) is mostly unknown.

objectivesChemical analysis of human skin biopsies from chronic allergic reactions in red tattoos to identify culprit pigment(s) and metals. MATERIAL AND

methodsOne hundred four dermatome biopsies were analyzed by matrix-assisted laser desorption/ionization tandem mass spectrometry (MALDI-MS/MS) for identification of commonly used organic pigments. Metal concentrations were assessed by inductively coupled plasma (ICP)-MS and x-ray fluorescence (XRF). Fourteen patients had cross-reactions in other red tattoos.

resultsIn total, the identified pigments were mainly azo Pigment Red (P.R.) 22 (35%), P.R. 210 (24%), P.R. 170 (12%), P.R. 5 (0.9%), P.R. 112 (0.9%), and Pigment Orange (P.O.) 13 (11%). P.R. 122 (0.9%) and Pigment Violet (P.V.) 23 (8%) were also common. P.R. 22, P.R. 170, and P.R. 210 also dominated in patients with cross-reactions. In 22% of the biopsies, no red pigment was detected. Element analysis indicated the presence of the sensitizers nickel and chromium.

conclusionsP.R. 22, P.R. 170, and P.R. 210 were identified as the prevailing pigments behind chronic allergic reactions in red tattoos. The epitope causing the reaction might be a pigment-degradation product. Metal contamination may derive from different sources, and its role in red tattoo allergy cannot be ascertained.

Indexed as

AdultAllergensColoring AgentsDermatitis, Allergic ContactFemaleHumansInkMalePigments, BiologicalTandem Mass SpectrometryTattooingAllergensColoring AgentsPigments, BiologicalallergynickelPigment Red 170/210Pigment Red 22pigmentstattoo reaction

Identifiers

PMID31626330
PMCPMC6973263
OpenAlexW2980462589

What OpenQuestion holds

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LicenceCC BY-NC
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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.