Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Tattoo Complications Infrequent in Patients With Psoriasis

The rate of tattoo complications is low in patients with psoriasis, a new study found. Researchers evaluated the frequently of tattoo complications in adult patients with psoriasis and determined if the occurrence of complications was associated with psoriasis status and treatments at the time of tattooing. They found:

  • The cross-sectional study included 2,053 patients with psoriasis; 20.2% had 894 tattoos.
  • Among non-tattooed patients, 15.4% had wised to be tattooed, with psoriasis being stated as a reason for not having a tattoo by 44.0% and 5.7% indicating that they planned to have a tattoo in the future.
  • Local complications were reported in tattoos in 6.6%, most frequently in patients with psoriasis requiring treatment at the time of tattooing.


Grodner C, et al. Tattoo complications in treated and non-treated psoriatic patients. [Published online ahead of print September 30, 2019]. J Eur Acad Dermatol Venereol. doi: 10.1111/jdv.15975.


There is limited data on the incidence of adverse reactions that occur with cosmetic procedures performed on patients with psoriasis. A previous study demonstrated that non-ablative laser procedures performed on the face of people with psoriasis showed no incidence of koebernization, delayed wound healing, or infections regardless if topical, oral systemic therapy, or biologic agents were used for treatment. This article shows that adverse reactions with tattooing in individuals with psoriasis showed low rates of adverse reactions. This will be useful data to tell patients with psoriasis who are thinking about getting a tattoo. —Paul S. Yamauchi, MD, PhD; Clinical Assistant Professor of Dermatology David Geffen School of Medicine at UCLA; Harbor-UCLA Medical Center Division of Dermatology; Adjunct Associate Professor John Wayne Cancer Institute.