American Journal of Clinical Dermatology

, Volume 19, Issue 2, pp 167–180 | Cite as

A Practical Guide About Tattooing in Patients with Chronic Skin Disorders and Other Medical Conditions

  • Nicolas Kluger
  • Christa De Cuyper
Therapy in Practice


With tattoos becoming increasingly mainstream, dermatologists are more and more often consulted by patients who are considering getting an ornamental, cosmetic, or even a medical tattoo, and who subsequently ask for advice. This includes not only patients with chronic skin diseases such as psoriasis or atopic dermatitis but also patients with other medical conditions. This review first explores the reasons why patients may want to get a tattoo and aims to offer some key information to dermatologists on what they should know about tattooing and the main risks associated with this procedure. Second, the risks and recommendations of tattooing in patients with specific skin diseases are described more in detail, and the relative and strict contraindications discussed, including the necessity to discontinue certain treatments that could influence the outcome of the procedure and the final result. Our aim was to provide dermatologists with the current knowledge they need to help their patients make adequate and informed choices on skin art, focusing specifically on considerations in patients with chronic skin conditions. Finally, other aspects regarding some general systemic conditions and concomitant diseases that the patient could present are also addressed. In particular, the risks of tattooing in patients with diabetes, coagulation disorders, heart conditions, immunosuppressive treatments, and pregnancy are discussed.


Compliance with Ethical Standards

Conflict of interest

Nicolas Kluger is an honorary member of the French Tattoo Union. Christa De Cuyper has no conflicts of interest to declare.




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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Dermatology, Venereology, Allergology, Skin and Allergies HospitalUniversity of Helsinki and Helsinki University Central HospitalHelsinkiFinland
  2. 2.«Tattoo» Consultation, Department of Dermatology, Bichat-Claude Bernard HospitalAssistance Publique-Hôpitaux de ParisParis Cedex 18France
  3. 3.Department of DermatologyAZ Sint-Jan Brugge-Oostende AVBruggeBelgium

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