Red tattoo reactions
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Updated: Sep 20, 2026

Roller Microneedle Combined with Tranexamic Acid Solution in Treating Melasma
Published on: January 19, 2024
N J Mortimer1, T A Chave, G A Johnston
1Department of Dermatology, Leicester Royal Infirmary, Leicester, UK.
Abstract:
Considering the ever increasing popularity of tattoos, significant reactions remain unusual. Red pigments are the commonest cause of delayed tattoo reactions. Histology typically shows extensive lichenoid basal damage, well away from the dermal pigment. We report two cases of lichenoid reactions to red tattoo pigment and review the literature on the subject.
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