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What Causes Itchy, Bumpy, Peeling And Scabbing Tattoed Skin?

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Posted on Tue, 13 Oct 2015
Question: I got a tattoo on my foot the summer of 2012 to cover scar tissue from a surgery in 2009............about a month and a half ago it got itchy andbumpy and now its peeling and scabbing really bad and looks like there is chunck of skin coming out and the foot is swelling.....do i have flesh eating disease? i dont know whats going on.... poly sporin is not helping at all
doctor
Answered by Dr. Dr. Kakkar (32 minutes later)
Brief Answer:
Granulomatous reaction to tattoo inks

Detailed Answer:
Hello. Thank you for writing to us.

I have gone through your query and I have noted down your concern.

I will keep a possibility of granulomatous reaction to tattoo ink particles which can develop years after the tattoo was done. Most commonly it happens to red color in tattoo i.e cinnabar (mercuric sulphide) but it can also happen to blue (cobalt) or black (carbon) pigment particles as well.

I request you to kindly upload an image so that i am able to guide you better. You may upload an Image either at "Reports Section" Or You may mail me at YYYY@YYYY with the subject line as Attention:Dr:Kakkar.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Kakkar (1 hour later)
Dear Doctor

Attached are the images please suggest
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Reaction to tattoo ink; Otral and topical steroids are required

Detailed Answer:
Hi. Thank you.

It is a foreign body reaction to tattoo ink. I can see swollen, red, excoriated and red areas within the tattoo.
If I was the treating doctor I would suggest topical as well as Oral steroids to control this reaction.
Topical polysporin will do nothing for this.
Oral prednisolone tablets in a dose of 1mg/kg/day and topical steroids creams e.g either mometasone furoate 0.1% cream Or clobetasol propionate 0.05% cream.
These are prescription medications and I suggest that you talk to your primary care physician for the needful.
In addition I also suggest an otc Oral antihistamine e.g cetrizine 10 mg tablets once daily for symptomatic relief from itching.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (12 minutes later)
Will I have to go as far as removal? Or will one dose of the drugs help?
doctor
Answered by Dr. Dr. Kakkar (7 minutes later)
Brief Answer:
Might require Laser if its recurs

Detailed Answer:
Hi.

A 2-3 week course of oral and topical steroids would settle this down. However, it keeps on recurring You may have to contemplate getting it Lasered with a pigment Laser e.g either Q switched Nd:Yag Laser Or Alexandrite Laser.

Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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What Causes Itchy, Bumpy, Peeling And Scabbing Tattoed Skin?

Brief Answer: Granulomatous reaction to tattoo inks Detailed Answer: Hello. Thank you for writing to us. I have gone through your query and I have noted down your concern. I will keep a possibility of granulomatous reaction to tattoo ink particles which can develop years after the tattoo was done. Most commonly it happens to red color in tattoo i.e cinnabar (mercuric sulphide) but it can also happen to blue (cobalt) or black (carbon) pigment particles as well. I request you to kindly upload an image so that i am able to guide you better. You may upload an Image either at "Reports Section" Or You may mail me at YYYY@YYYY with the subject line as Attention:Dr:Kakkar. Regards