TO THE EDITOR:

Steiner and colleagues (1) report three cases of focal neuromuscular dysfunction that developed 3 to 6 months after tattooing, and they hypothesize that the mechanism is related to “an immune-mediated reaction secondary to local inflammatory changes … or toxic effect of the pigment.” They consider that the ipsilateral position of the tattoo and subsequent brachial plexopathy represent causation by the tattoo, but the number in their series is too small to allow confidence of this assertion. In addition, clinicians are more likely to detect an ipsilateral than a contralateral (or remote) tattoo, and this may bias the ...

References

  • 1. Steiner IFarcas PWirguin ITattoo-related brachial plexopathies with adjacent muscle atrophy [Letter]. Ann Intern Med2000;133:158-9. [PMID: 0010896644] LinkGoogle Scholar
  • 2. Long GERickman LSInfectious complications of tattoos. Clin Infect Dis1994;18:610-9. [PMID: 0008038318] CrossrefMedlineGoogle Scholar
  • 3. Post JJDolan KAWhybin LRCarter WJHaber PSLloyd ARAcute hepatitis C virus infection in an Australian prison inmate: tattooing as a possible transmission route. Med J Aust2001;174:183-4. CrossrefMedlineGoogle Scholar
  • 4. Calabrese LHProffitt MRLevin KHYen-Lieberman BStarkey CAcute infection with the human immunodeficiency virus (HIV) associated with acute brachial neuritis and exanthematous rash. Ann Intern Med1987;107:849-51. [PMID: 0003688679] LinkGoogle Scholar
  • 5. Reutens DCDunne JWLeather HNeuralgic amyotrophy following recombinant DNA hepatitis B vaccination [Letter]. Muscle Nerve1990;13:461. [PMID: 0002345565] MedlineGoogle Scholar