IJD
Indian Journal of Dermatology
  Publication of IADVL, WB
  Official organ of AADV
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E-IJD-CASE REPORT
Year : 2015  |  Volume : 60  |  Issue : 3  |  Page : 322

Erythema multiforme-like secondary to paraphenylenediamine due to henna tattoo plus residual hypopigmentation


Department of Dermatology, Hospital Universitari Sagrat Cor, Barcelona, Spain

Correspondence Address:
Cristian Fischer Levancini
Department of Dermatology, Hospital Universitari Sagrat Cor, Viladomat, 288, 08029 Barcelona
Spain
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.156455

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Temporary henna tattoos or pseudotattoos have become increasingly widespread among children and adolescent. A generalized skin reaction, type erythema multiforme-like reaction is unusual, and rarely reported. We describe the case of a 7-year-old boy who reported erythematous papular bull's-eye shaped lesions and consolidated edema primarily in the upper and lower extremities. These lesions were compatibles with erythema multiforme-like reaction. He also showed an erythematous-eczematous lesion on his leg, shaped like a dolphin. In this area, a temporary henna tattoo was painted 1-month earlier. Patch test was positive for paraphenylenediamine (PPD). Skin reactions due to henna are rare. Most of the reactions are due to additives, especially PPD, an aniline derivative, which is added to speed up the process of skin dyeing and to give a darker brown to black color ("black" henna). As henna tattoos are becoming increasingly popular, prevention requires the annual provision of information to consumers, especially young people and their parents.


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