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Nodular skin reactions in eyebrow permanent makeup: two case reports and an infection by Mycobacterium haemophilum
Author(s) -
Wollina Uwe
Publication year - 2011
Publication title -
journal of cosmetic dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.626
H-Index - 44
eISSN - 1473-2165
pISSN - 1473-2130
DOI - 10.1111/j.1473-2165.2011.00564.x
Subject(s) - eyebrow , clarithromycin , medicine , dermatology , adverse effect , ciprofloxacin , mycobacterium infections , rifampicin , surgery , calcineurin , mycobacterium , pathology , tuberculosis , antibiotics , microbiology and biotechnology , transplantation , biology , helicobacter pylori
Summary Background Permanent makeup is becoming more and more popular. The procedures, however, bear some medical risks. Aims We will describe possible adverse effects of the procedure. Methods This is a report of clinical observations. Results We report about two women aged 26 and 47 years, who developed nodules with some delay after permanent tattooing the eyebrows. Clinical, histologic, and laboratory investigations revealed a noninfectious granulomatous reaction not responding to topical calcineurin inhibitor but corticosteroids in the younger patient. In the other woman, an infection by Mycobacterium haemophilum could be identified. A triple combination of clarithromycin, ciprofloxacin, and rifampicin succeeded in clearance of the lesions. Conclusions Adverse reactions after permanent makeup need a medical evaluation to identify health risks and initiate early treatment.