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Abstract
Cosmetic permanent make-up is an increasingly popular form of tattooing. The latter is potentially associated with adverse skin reactions. Whereas localized lichenoid reactions at tattooed sites have been reported, generalized eruptions are rare.
Highlights
The demand for cosmetic permanent make-up of lips, eyelids and eyebrows has significantly increased during recent years [1]
Dissemination may be due to an allergic reaction or an isomorphic response
We here present the striking case of a patient with a generalized lichenoid reaction which first started at a site of prior red tattooing on the lips
Summary
The demand for cosmetic permanent make-up of lips, eyelids and eyebrows has significantly increased during recent years [1]. The use of red pigments containing mercury may result in lichenoid reactions and other localized side reactions [2]. We here report the case of a generalized lichenoid reaction following red tattooing of the lips and discuss the potential underlying pathomechanisms and management.
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