The art of body adornment by body piercing and tattooing has become increasingly popular in our modern culture. Temporary henna tattoos are readily available worldwide, last several weeks on the skin, and offer a self-limited, convenient alternative to a permanent tattoo. The addition of para-phenylenediamine (PPD), which is widely recognized as a sensitizer, increases the risk of allergic contact dermatitis from these henna tattoo mixtures, and a number of cases have been reported. We report a case of contact dermatitis from a henna tattoo mixture, which was diagnosed by the patch test and identification and quantification of PPD and nickel in a temporary henna tattoo.
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