Burn depth assessment in tattooed patients: Diagnostic challenges and potential pitfalls in treatment

Tattoos are commonly accepted as a lifestyle choice, with an estimated 10-20% of the global population having a tattoo. Burn injuries in tattooed skin can be challenging to assess, and incorrect management can lead to an unnecessary burden on resources. This may lead to preventable patient morbidity...

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Main Authors: Howard Chu, Janak Bechar, Jolita Zakaraite, John Dickson
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Burns
Subjects:
Online Access:http://www.ijburns.com/article.asp?issn=0971-653X;year=2022;volume=30;issue=1;spage=87;epage=90;aulast=Chu
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author Howard Chu
Janak Bechar
Jolita Zakaraite
John Dickson
author_facet Howard Chu
Janak Bechar
Jolita Zakaraite
John Dickson
author_sort Howard Chu
collection DOAJ
description Tattoos are commonly accepted as a lifestyle choice, with an estimated 10-20% of the global population having a tattoo. Burn injuries in tattooed skin can be challenging to assess, and incorrect management can lead to an unnecessary burden on resources. This may lead to preventable patient morbidity. We present a case series of patients presenting to our unit with burn injuries on tattooed skin, and discuss recommendations for assessing and optimising care in this cohort. Four male patients aged 23 to 50 years old are discussed in this study, with burn injuries to limb tattooed skin. One patient underwent surgical management and upon a test shave of the apparent full thickness burn with tattoo pigmentation, showed a bleeding dermis which would indicate a more superficial burn. A second patient had burn depth masked a colour tattoo that mimicked a mid to deep dermal burn. We highlight the difficulties in assessing patients with burn injuries in tattooed skin and the importance of ensuring the correct diagnosis in depth of burn. This is to allow optimal treatment and avoid potential complications that may occur as a result of misdiagnosis.
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spelling doaj.art-2e9fee7a27bd4bd7a46e88380c6519f12023-07-21T14:49:05ZengWolters Kluwer Medknow PublicationsIndian Journal of Burns0971-653X2022-01-01301879010.4103/ijb.ijb_7_22Burn depth assessment in tattooed patients: Diagnostic challenges and potential pitfalls in treatmentHoward ChuJanak BecharJolita ZakaraiteJohn DicksonTattoos are commonly accepted as a lifestyle choice, with an estimated 10-20% of the global population having a tattoo. Burn injuries in tattooed skin can be challenging to assess, and incorrect management can lead to an unnecessary burden on resources. This may lead to preventable patient morbidity. We present a case series of patients presenting to our unit with burn injuries on tattooed skin, and discuss recommendations for assessing and optimising care in this cohort. Four male patients aged 23 to 50 years old are discussed in this study, with burn injuries to limb tattooed skin. One patient underwent surgical management and upon a test shave of the apparent full thickness burn with tattoo pigmentation, showed a bleeding dermis which would indicate a more superficial burn. A second patient had burn depth masked a colour tattoo that mimicked a mid to deep dermal burn. We highlight the difficulties in assessing patients with burn injuries in tattooed skin and the importance of ensuring the correct diagnosis in depth of burn. This is to allow optimal treatment and avoid potential complications that may occur as a result of misdiagnosis.http://www.ijburns.com/article.asp?issn=0971-653X;year=2022;volume=30;issue=1;spage=87;epage=90;aulast=Chuchallengesdepthtattoo
spellingShingle Howard Chu
Janak Bechar
Jolita Zakaraite
John Dickson
Burn depth assessment in tattooed patients: Diagnostic challenges and potential pitfalls in treatment
Indian Journal of Burns
challenges
depth
tattoo
title Burn depth assessment in tattooed patients: Diagnostic challenges and potential pitfalls in treatment
title_full Burn depth assessment in tattooed patients: Diagnostic challenges and potential pitfalls in treatment
title_fullStr Burn depth assessment in tattooed patients: Diagnostic challenges and potential pitfalls in treatment
title_full_unstemmed Burn depth assessment in tattooed patients: Diagnostic challenges and potential pitfalls in treatment
title_short Burn depth assessment in tattooed patients: Diagnostic challenges and potential pitfalls in treatment
title_sort burn depth assessment in tattooed patients diagnostic challenges and potential pitfalls in treatment
topic challenges
depth
tattoo
url http://www.ijburns.com/article.asp?issn=0971-653X;year=2022;volume=30;issue=1;spage=87;epage=90;aulast=Chu
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AT johndickson burndepthassessmentintattooedpatientsdiagnosticchallengesandpotentialpitfallsintreatment