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	Since this article does not have an abstract, we have provided the first 85 words of the full text and any section headings.

The increasing number of reports of adverse reactions caused by cosmetic tattoo pigment^1-2 should "ring the warning bell." To help prevent these negative effects, perhaps consultation with a dermatologist should be demanded by medical associations before permanent makeup is applied, thus giving evidence-based medical information about possible adverse effects of this popular cosmetic procedure, even if it is mainly offered in nonmedical institutions.

AUTHOR INFORMATION
Correspondence: Dr Kopera, Department of Dermatology, Medical University of Graz, Auenbruggerplatz 8, A-8036 Graz, Austria (daisy.kopera@meduni-graz.at).

Financial Disclosure: None reported.

Daisy Kopera, MD

1. Klontz KC, Lambert LA, Jewell RE, Katz LM. Adverse effects of cosmetic tattooing: an illustrative case of granulomatous dermatitis following the application of permanent makeup. Arch Dermatol. 2005;141:918-919. FREE FULL TEXT 2. Antonovich DD, Callen JP. Development of sarcoidosis in cosmetic tattoos. Arch Dermatol. 2005;141:869-872. FREE FULL TEXT

Arch Dermatol. 2006;142:1364.

RELATED ARTICLE

Adverse Effects of Cosmetic Tattooing: An Illustrative Case of Granulomatous Dermatitis Following the Application of Permanent Makeup
Karl C. Klontz, Lark A. Lambert, Richard E. Jewell, and Linda M. Katz
Arch Dermatol. 2005;141(7):918-919.
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