Case report
Complications following black henna tattoo cosmetic procedure. Case report

Applying make up and tattoos is centuries old and within the space of centuries has had various meanings in various cultures. In recent years body make up especially by means of tattoos in summer seems to have aroused enormous interest among young people. Use of the so-called safe tattoo seems to be an alternative to the traditional one, i.e. the permanent one. Such type of make up usually involves the use of henna. Until recently, henna was regarded as a harmless, safe, natural agent for hair and skin dyeing. The durability of a tattoo made by means of henna is 10-14 days. Henna is a dye which originates from the leaves of a shrub called Lawson’s shrub. Para-phenylenediamine (PPD) is often added to achieve a more definite colour, which may be a cause of a variety of undesirable skin changes. We will introduce a case of an 18-year-old patient who had a tattoo made by an accidental person by means of black henna and next went swimming in the sea followed by a couple of hours sunbathing without any sun protection. As result he developed erythema at the site of the tattoo and the sensation of itching and burning. The changes became markedly aggravated which led to the formation of lesions along the tattoo. Skin changes were accompanied by increase of temperature and general malaise symptoms. Comment: The use of black henna containing PPD for tattoos is not safe because there is a risk of different types of skin changes. In many countries such tattoos are forbidden altogether.