{"id":220739,"date":"2018-06-19T03:18:31","date_gmt":"2018-06-19T03:18:31","guid":{"rendered":"http:\/\/healthmedicinet.com\/i\/cystic-fibrosis-patient-left-in-chronic-pain-after-getting-a-tattoo\/"},"modified":"2018-06-19T03:18:31","modified_gmt":"2018-06-19T03:18:31","slug":"cystic-fibrosis-patient-left-in-chronic-pain-after-getting-a-tattoo","status":"publish","type":"post","link":"http:\/\/healthmedicinet.com\/i\/cystic-fibrosis-patient-left-in-chronic-pain-after-getting-a-tattoo\/","title":{"rendered":"Cystic fibrosis patient left in chronic pain after getting a TATTOO"},"content":{"rendered":"<p class=\"mol-para-with-font\">A cystic fibrosis patient was left in chronic pain after getting a tattoo because of her compromised immune system.<\/p>\n<p class=\"mol-para-with-font\">The woman, from Scotland, had a large coloured ink tattoo on her left thigh in 2015 &#8211; but developed chronic pain within months.<\/p>\n<p class=\"mol-para-with-font\">Doctors today called for people with weak immune systems to steer clear of getting a tattoo because of the landmark case.<\/p>\n<p class=\"mol-para-with-font\">The unidentified 31-year-old&#8217;s reaction to her inking is believed to be the first ever recorded case of inflammatory myopathy.<\/p>\n<p class=\"mol-para-with-font\">Medics at the NHS Greater Glasgow and Clyde published the unusual tale in the British Medical Journal Case Reports.\u00a0<\/p>\n<p>    <img loading=\"lazy\" decoding=\"async\" id=\"i-ee7ffb63342e70b9\" src=\"image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" height=\"955\" width=\"634\" alt=\"The woman, from Scotland, had a large coloured ink tattoo on her left thigh in 2015 - but developed chronic pain within months\" class=\"blkBorder img-share\" \/><\/p>\n<p>    <img loading=\"lazy\" decoding=\"async\" id=\"i-ee7ffb63342e70b9\" src=\"http:\/\/i.dailymail.co.uk\/i\/newpix\/2018\/06\/18\/17\/4D619FF300000578-0-image-a-16_1529340090681.jpg\" height=\"955\" width=\"634\" alt=\"The woman, from Scotland, had a large coloured ink tattoo on her left thigh in 2015 - but developed chronic pain within months\" class=\"blkBorder img-share\" \/><\/p>\n<p class=\"imageCaption\">The woman, from Scotland, had a large coloured ink tattoo on her left thigh in 2015 &#8211; but developed chronic pain within months<\/p>\n<p class=\"mol-para-with-font\">They wrote: &#8216;To our knowledge, there have been no previously reported cases of tattoo-associated reactions causing an inflammatory myopathy.\u00a0<\/p>\n<p class=\"mol-para-with-font\">&#8216;This is a unique adverse reaction following a tattoo, and given the increasing popularity of inking, it should remain an important point for medical professionals to consider during a consultation.<\/p>\n<p class=\"mol-para-with-font\">&#8216;Doctors should counsel immunosuppressed patients appropriately at an early stage of the dangers relating to tattoos.<\/p>\n<p class=\"mol-para-with-font\">&#8216;Patients have a responsibility to consider carefully the decision whether to undergo the tattoo, and if so, to time this appropriately such as a time when on minimal immunosuppression.&#8217;\u00a0<\/p>\n<ul class=\"rotator-panels link-bogr1 linkro-ccox\">\n<li>\n<p>  <span>Developing type 2 diabetes in middle age may be an early&#8230;<\/span><\/p>\n<p><\/a><\/p>\n<p>  <span>Could YOU recognize the signs of OCD? Mental health&#8230;<\/span><\/p>\n<p><\/a><\/p>\n<p>  <span>Did England listen to Rihanna before winning their first&#8230;<\/span><\/p>\n<p><\/a><\/p>\n<p>  <span>Comfort eating is caused by stress at the dinner table in&#8230;<\/span><\/p>\n<p><\/a><\/p>\n<\/li>\n<\/ul>\n<p class=\"mol-para-with-font\">The unnamed woman\u00a0with cystic fibrosis had a large coloured ink tattoo on her left thigh in 2015, doctors led by William Wilson wrote.<\/p>\n<p class=\"mol-para-with-font\">But within months she began to get chronic pain in her left hip, knee and thigh but doctors were initially puzzled what was causing it.<\/p>\n<p class=\"mol-para-with-font\">Complications from a &#8216;bad tattoo&#8217; are quite common, ranging from minor skin irritation to severe infection causing death.<\/p>\n<p class=\"mol-para-with-font\">The woman had been taking drugs to dampen down her immune system for several years after receiving a double lung transplant in 2009.<\/p>\n<p>    <img loading=\"lazy\" decoding=\"async\" id=\"i-b4f68b1e2b7fe554\" src=\"image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" height=\"594\" width=\"634\" alt=\"An MRI scan shows a section of her left distal thigh\/knee showing extensive oedema (watery fluid) within her vastus medialis - a muscle in the thigh that extends the knee\" class=\"blkBorder img-share\" \/><\/p>\n<p>    <img loading=\"lazy\" decoding=\"async\" id=\"i-b4f68b1e2b7fe554\" src=\"http:\/\/i.dailymail.co.uk\/i\/newpix\/2018\/06\/18\/17\/4D61A0AE00000578-0-image-a-20_1529340248072.jpg\" height=\"594\" width=\"634\" alt=\"An MRI scan shows a section of her left distal thigh\/knee showing extensive oedema (watery fluid) within her vastus medialis - a muscle in the thigh that extends the knee\" class=\"blkBorder img-share\" \/><\/p>\n<p class=\"imageCaption\">An MRI scan shows a section of her left distal thigh\/knee showing extensive oedema (watery fluid) within her vastus medialis &#8211; a muscle in the thigh that extends the knee<\/p>\n<p>    <img loading=\"lazy\" decoding=\"async\" id=\"i-c7b3e3605b79267d\" src=\"image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" height=\"628\" width=\"634\" alt=\"An MRI scans shows a section of\u00a0 her left distal thigh\/knee showing extensive oedema within vastus medialis and effusion within the knee joint\" class=\"blkBorder img-share\" \/><\/p>\n<p>    <img loading=\"lazy\" decoding=\"async\" id=\"i-c7b3e3605b79267d\" src=\"http:\/\/i.dailymail.co.uk\/i\/newpix\/2018\/06\/18\/17\/4D61A00700000578-0-image-a-21_1529340253232.jpg\" height=\"628\" width=\"634\" alt=\"An MRI scans shows a section of\u00a0 her left distal thigh\/knee showing extensive oedema within vastus medialis and effusion within the knee joint\" class=\"blkBorder img-share\" \/><\/p>\n<p class=\"imageCaption\">An MRI scans shows a section of\u00a0 her left distal thigh\/knee showing extensive oedema within vastus medialis and effusion within the knee joint<\/p>\n<p class=\"mol-para-with-font\">Several years before that she had a tattoo on her right leg without any side effects, so decided to have one on her left leg too.<\/p>\n<p class=\"mol-para-with-font\">Immediately she experienced mild skin irritation, which is not unusual. But nine days later, she developed severe pain in her left knee and thigh.\u00a0<\/p>\n<p class=\"mol-para-with-font\">Although her symptoms eased after she was given strong painkillers, they were still troubling her 10 months later, so she was referred to a rheumatology clinic.<\/p>\n<p class=\"mol-para-with-font\">Tests came back negative &#8211; until a biopsy of her thigh muscle revealed that she had inflammatory myopathy, or chronic muscle inflammation.<\/p>\n<p class=\"mol-para-with-font\">It often results in muscle weakness and pain, and often the cause is unknown.<\/p>\n<p class=\"mol-para-with-font\">Doctors concluded the woman&#8217;s reaction was likely to be linked to getting the tattoo and her compromised immune system, although there was no definite proof.<\/p>\n<p class=\"mol-para-with-font\">She had a period of physiotherapy for basic quadriceps strengthening exercises and one year after the onset of her symptoms, her condition started to improve.<\/p>\n<p class=\"mol-para-with-font\">Three years later, she is pain free and back to her normal activities, Mr Wilson and his colleagues wrote in the journal.<\/p>\n<p class=\"mol-para-with-font\">Experts said doctors should advise patients with a weakened immune system of the risks of getting an inking.\u00a0<\/p>\n<p>    <img loading=\"lazy\" decoding=\"async\" id=\"i-a0a7b50dc59a4265\" src=\"image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" height=\"680\" width=\"634\" alt=\"An MRI scan of her left distal thigh\/knee shows a build-up of oedema in her vastus medialis\" class=\"blkBorder img-share\" \/><\/p>\n<p>    <img loading=\"lazy\" decoding=\"async\" id=\"i-a0a7b50dc59a4265\" src=\"http:\/\/i.dailymail.co.uk\/i\/newpix\/2018\/06\/18\/17\/4D61A00300000578-0-image-a-22_1529340259518.jpg\" height=\"680\" width=\"634\" alt=\"An MRI scan of her left distal thigh\/knee shows a build-up of oedema in her vastus medialis\" class=\"blkBorder img-share\" \/><\/p>\n<p class=\"imageCaption\">An MRI scan of her left distal thigh\/knee shows a build-up of oedema in her vastus medialis<\/p>\n<h3 class=\"mol-factbox-title\">HOW CAN A TATTOO LEAD TO CHRONIC PAIN?\u00a0<\/h3>\n<p class=\"mol-para-with-font\">The prevalence of tattoos has been increasing, as has the incidence of associated complications.<\/p>\n<p class=\"mol-para-with-font\">Writing in the BMJ Case Reports, William Wilson, of NHS Greater Glasgow and Clyde, said: &#8216;These have been well documented and can be local or systemic infections as well as variety of skin reactions.<\/p>\n<p class=\"mol-para-with-font\">&#8216;To our knowledge, there have been no previously reported cases of tattoo-associated reactions causing an inflammatory myopathy.<\/p>\n<p class=\"mol-para-with-font\">&#8216;This could be a rare occurrence or represent an under-diagnosis for patients presenting with similar symptoms having had tattoos.<\/p>\n<p class=\"mol-para-with-font\">&#8216;Inflammatory myopathies are a group of diseases that involve chronic muscle inflammation, which can lead to pain and muscle weakness.&#8217;<\/p>\n<p class=\"mol-para-with-font\">He added that it is &#8216;well recognised &#8216;that adverse tattoo reactions can arise from the type of ink or colouring agent used.<\/p>\n<p class=\"mol-para-with-font\">Most commonly issues are seen with red ink. But there was a variety of coloured ink used in the woman&#8217;s tattoo, which may explain her reaction.\u00a0<\/p>\n<p class=\"mol-para-with-font\">Mr Wilson said: &#8216;The prevalence of tattoos has been increasing, as has the incidence of associated complications.<\/p>\n<p class=\"mol-para-with-font\">&#8216;These have been well documented and can be local or systemic infections as well as variety of skin reactions.<\/p>\n<p class=\"mol-para-with-font\">&#8216;To our knowledge, there have been no previously reported cases of tattoo-associated reactions causing an inflammatory myopathy.<\/p>\n<p class=\"mol-para-with-font\">&#8216;This could be a rare occurrence or represent an under-diagnosis for patients presenting with similar symptoms having had tattoos.<\/p>\n<p class=\"mol-para-with-font\">&#8216;Inflammatory myopathies are a group of diseases that involve chronic muscle inflammation, which can lead to pain and muscle weakness.&#8217;<\/p>\n<p class=\"mol-para-with-font\">He added that it is &#8216;well recognised &#8216;that adverse tattoo reactions can arise from the type of ink or colouring agent used.<\/p>\n<p class=\"mol-para-with-font\">Most commonly issues are seen with red ink. But there was a variety of coloured ink used in the woman&#8217;s tattoo, which may explain her reaction.\u00a0<\/p>\n<p class=\"mol-para-with-font\">Mr Wilson said: &#8216;The tattoo industry has no regulated or professional body to enhance standards across the UK.<\/p>\n<p class=\"mol-para-with-font\">&#8216;And there have been cases of black ink being diluted to grey ink with non-sterile tap water, causing infection.<\/p>\n<p class=\"mol-para-with-font\">&#8216;In this case, the tattoo application by an unregulated parlour, combined with the patient&#8217;s immune suppression could have resulted in the adverse reaction.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A cystic fibrosis patient was left in chronic pain after getting a tattoo because of her compromised immune system. The woman, from Scotland, had a large coloured ink tattoo on her left thigh in 2015 &#8211; but developed chronic pain within months. Doctors today called for people with weak immune systems to steer clear of <a class=\"read-more-link\" href=\"http:\/\/healthmedicinet.com\/i\/cystic-fibrosis-patient-left-in-chronic-pain-after-getting-a-tattoo\/\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-220739","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts\/220739","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/comments?post=220739"}],"version-history":[{"count":0,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts\/220739\/revisions"}],"wp:attachment":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/media?parent=220739"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/categories?post=220739"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/tags?post=220739"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}