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Use of Lasers for Iron-Induced Accidental Tattoos: Experience at a Tertiary Referral Center


Eggenschwiler, Corinne D C; Dummer, Reinhard; Imhof, Laurence (2020). Use of Lasers for Iron-Induced Accidental Tattoos: Experience at a Tertiary Referral Center. Dermatologic Surgery, 46(9):1176-1182.

Abstract

BACKGROUND

Awareness of accidental tattoos after iron injections with paravenous leakage is low. No larger patient cohorts have been analyzed. The lesions are a burden to the patients. The only known treatment is laser therapy.

OBJECTIVE

To characterize the clinical appearance and development of iron-induced tattoos and to demonstrate safe and efficient removal with quality-switched (QS) and picosecond lasers.

MATERIALS AND METHODS

The authors conducted a retrospective systematic analysis on patients who presented at the Dermatology Department of the University Hospital of Zurich between Year 2008 and 2017 with accidental hyperpigmentations after iron injections. From 29 collected patients, 13 received laser treatment and were analyzed with reference to the lasers used, including wavelength, fluence, spot size, intervals, number of sessions, and overall success. The authors defined the latter as a complete removal or as patients' satisfaction.

RESULTS

The authors treated 13 patients and completed the treatment in 8 patients, with an average of 5.6 sessions. No complications occurred.

CONCLUSION

Spontaneous regression of iron-induced tattoos is possible within 1 to 2 years, but not guaranteed. Removal with QS ruby, Nd:YAG, and picosecond lasers can be achieved within a mean number of 5.6 sessions. Assuring a valid indication before intravenous iron administration is important.

Abstract

BACKGROUND

Awareness of accidental tattoos after iron injections with paravenous leakage is low. No larger patient cohorts have been analyzed. The lesions are a burden to the patients. The only known treatment is laser therapy.

OBJECTIVE

To characterize the clinical appearance and development of iron-induced tattoos and to demonstrate safe and efficient removal with quality-switched (QS) and picosecond lasers.

MATERIALS AND METHODS

The authors conducted a retrospective systematic analysis on patients who presented at the Dermatology Department of the University Hospital of Zurich between Year 2008 and 2017 with accidental hyperpigmentations after iron injections. From 29 collected patients, 13 received laser treatment and were analyzed with reference to the lasers used, including wavelength, fluence, spot size, intervals, number of sessions, and overall success. The authors defined the latter as a complete removal or as patients' satisfaction.

RESULTS

The authors treated 13 patients and completed the treatment in 8 patients, with an average of 5.6 sessions. No complications occurred.

CONCLUSION

Spontaneous regression of iron-induced tattoos is possible within 1 to 2 years, but not guaranteed. Removal with QS ruby, Nd:YAG, and picosecond lasers can be achieved within a mean number of 5.6 sessions. Assuring a valid indication before intravenous iron administration is important.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Dermatology Clinic
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Surgery
Health Sciences > Dermatology
Language:English
Date:2020
Deposited On:11 Apr 2022 12:53
Last Modified:22 Jun 2024 01:38
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:1076-0512
OA Status:Closed
Publisher DOI:https://doi.org/10.1097/DSS.0000000000002262
PubMed ID:31714385
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