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Emergency Medicine Journal 2009;26:812; doi:10.1136/emj.2008.063354
© 2009 BMJ Publishing Group Ltd and the College of Emergency Medicine.

IMAGES IN EMERGENCY MEDICINE

The mark of the dragon

P Wheat, R L Boon

Department of Emergency Medicine, Salford Royal Hospital, Salford, Greater Manchester, UK

Correspondence to:
Correspondence to Dr R L Boon, Department of Emergency Medicine, Salford Royal Hospital, Stott Lane, Salford, Greater Manchester M6 8HD, UK; robboon69@hotmail.com

Accepted 20 June 2008

The first 100% of the full text of this article appears below.

An 8-year-old boy presented to the emergency department with a pruritic erythematous rash on his left leg in the shape of a dragon. Ten days earlier he had had a henna tattoo while on holiday in Egypt. This had washed off after approximately 3 days. Following an interval of 7 days he developed an erythematous rash affecting his leg in the exact location of the henna tattoo (fig 1).


 

Hypersensitivity reactions to henna tattoos have been described previously.1 2 Henna contains para-phenylenediamine which is a darkening agent that can cause hypersensitivity reactions. He was treated with topical 0.5% hydrocortisone and oral chlorpheniramine. The rash settled down within 2 weeks.

Competing interests None.

Patient consent Obtained from patient’s relative.

  1. Sidwell RU, Francis ND, Basarab T. Vesicular erythema multiforme-like reaction to para-phenylenediamine in a henna tattoo. Pediatr Dermatol 2008;25:201–4.[CrossRef][Medline]
  2. Power S, Postlethwaite RJ. An unusual rash. Arch Dis Child 2002;87:134.[Free Full Text]

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