Document Detail

Treatment of gunpowder traumatic tattoo by Q-switched Nd:YAG laser: an unusual adverse effect.
MedLine Citation:
PMID:  11096395     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The Q-switched Nd:YAG laser can completely eliminate traumatic tattoos. OBJECTIVE: We report the results of the unsuccessful removal of traumatic tattoos among three patients with dermal inclusions of gunpowder who were shot at close range. METHODS: Treatment was tried in each patient with a Q-switched Nd:YAG laser at a medium fluence (4-6 J/cm2). RESULTS: During treatment of our patients, each pulse provoked sparks and the immediate formation of bleeding trans- epidermal pits. After the healing process was completed, we observed poxlike scars and the spreading of pigments in the skin around the initial points of the tattoo. CONCLUSION: We hypothesize that the rapid transfer of high-energy pulses to powder particles creates microexplosions of these fragments resulting in cavitation and provoking transepidermal holes and subsequent scars. This adverse effect was only produced if the tattoo resulted from gun powder being shot at a short distance from the skin.
T Fusade; G Toubel; C Grognard; J M Mazer
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]     Volume:  26     ISSN:  1076-0512     ISO Abbreviation:  Dermatol Surg     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2000-12-19     Completed Date:  2000-12-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9504371     Medline TA:  Dermatol Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1057-9     Citation Subset:  IM    
Plateforme Laser, Clinique de Turin, Paris, France.
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MeSH Terms
Facial Injuries / complications,  surgery*
Intraoperative Complications / etiology*
Laser Therapy / adverse effects*,  instrumentation,  methods
Wounds, Gunshot / complications,  surgery*
Comment In:
Dermatol Surg. 2001 Apr;27(4):425   [PMID:  11298723 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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