Abstract

An 18-year-old British male backpacker attended the Travel Clinic at the Bangkok Hospital for Tropical Diseases with large, itchy, and painful blisters arranged in a turtle-shaped pattern on the right forearm for 9 days. Thirteen days prior to attending the Travel Clinic, he had had a temporary black henna tattoo applied to that area by a street vendor. Two days after that, he developed itching and irritation in that area, and then 2 days later, turtle-shaped vesicles developed. His skin lesion is shown in Figure 1a and the diagnosis was contact dermatitis caused by black henna tattoo. Figure 1 (a) Severe reaction of contact dermatitis: …

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