Tattooing: Medical Uses and Problems
REVIEW CRYSTAL M. GLASSY, DO, MPH MATTHEW S. GLASSY, MD, MS SALEH ALDASOUQI, MD, FACE, ECNU University of California, Irvine, University of California, Irvine, Michigan State University, Department of Family Medicine, Department of Internal Medicine Department of Medicine, Lansing, MI Irvine, CA Irvine, CA Tattooing: Medical uses and problems ■■ ABSTRACT eople have been marking the skin with P pigments for at least 4,000 years.1 Tattoos Decorative tattooing is a custom thousands of years old have been found on Egyptian mummies, and and is growing in popularity today. Medical professionals Roman gladiators are known to have used tat- 2 may be less familiar with its medical applications—medi- toos for identification. Tattooing was consid- ered fashionable among royalty in the first half cal alert tattooing, reconstructive and cosmetic applica- 3 tions, endoscopic tattooing, corneal tattooing, tattooing of the 20th century. And today it is perhaps more popular than ever. in radiation oncology, and uses in forensic medicine. We But tattooing is not confined to popular cul- review current medically related tattooing applications ture and decoration. It has established uses in and discuss their potential risks and benefits. medicine, as well as other medically related uses ■■ that represent more recent trends. In this review, KEY POINTS we explore the range of medical tattooing. Tattoos that state an advance directive for health care are not recognized as meeting the legal requirements for ■ MEDICAL ALERT TATTOOING advance directives. They should only be considered as a guide to treatment decisions. Medical alert tattooing is a form of medical identification similar to medical alert jew- elry, ie, bracelets and necklaces, to alert first- Tattooing for medical-alert purposes is part of current cul- responders to a medical condition or to spe- ture.
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