Tattoos and eczema
Tattoos are very popular, but they do carry some risks. We don’t know whether these are significantly higher for people with eczema. It’s likely to depend on how severe your eczema is and your risk of contact allergy.
Can tattoos trigger eczema flares?
Tattoos can certainly trigger eczema flares, and the eczema can get worse where the tattoo is, but many people with eczema have tattoos without problems.
What other skin conditions and risks should I consider with a tattoo?
Besides eczema, there are other skin issues reported with tattoos. Some people develop a ‘sun allergy’. To protect your tattoo, use a high SPF (30 or more) when outdoors and cover it with clothing in bright sunlight. You also need to think about how your skin scars. If you have a tendency for keloid scarring, developing keloids in the tattooed area is a real possibility. There have also been rare reports of burns to tattooed skin during MRI scanning. So, if you have an MRI for any reason, it is important to flag any tattoos to the radiographer.
Another possibility is allergic reaction triggered by the dye or ink. Some people have experienced this delayed reaction even decades later, linked to joint replacement surgery or starting treatment for HIV. There are many dyes used in tattooing and the tattoo artist may have preferences for people with sensitive skin. For example, black henna tattoos can be dangerous if you are allergic to paraphenylenediamine (PPD) – and most people do not know if they are allergic. A patch test is no guarantee the procedure will be problem free.
Do tattoos carry risk of infections?
One thing to consider is the risk of infection due to scratching. This is worse immediately after the tattoo but also days and even months later. The signs of infection include deepening redness/ darkening, pain worsening and not subsiding, pus in the tattoo and open sores developing. If you see any of these signs, go to the doctor immediately, as the sooner you start treatment the better for your health and for the tattoo.
Useful resources
Our booklets and factsheets are based on the latest research and clinical guidelines, and are regularly reviewed by doctors and nurses.
Living with eczema (for adults) booklet
Supportive, practical information for adults managing eczema, based on the latest research and regularly reviewed by doctors and nurses.
