8/18/2023 0 Comments Common pencil tattoo drawingsTattoo regulations vary by state however, most states prohibit tattooing of minors (those younger than 18 years). An eraser tattoo is often seen in younger teens (under age 15) who are unable to obtain a permanent ink tattoo. For instance, a tattoo in the shape of a teardrop may indicate murder. Gang-related tattoos often symbolize membership or the gang’s beliefs however, they may represent an act of violence. The design of the tattoo may reveal a gang name or slogan. 5 The type of tattoo and the design can also be useful. Adolescents who use painful methods to permanently scar themselves may be at risk for other adverse behaviors, such as eating disorders, drug use, and violence. It is important to note the presence of tattoos in adolescents during regular office visits and, if found, discuss their significance. 4 The extent of cutaneous absorption of phthalates from erasers is unknown. 3 Dermal absorption of phthalates from common cosmetics has been documented, although the levels in these commercial products are small. 2 A concern with eraser tattoos is the the risk of toxicity from dermal absorption of phthalates in the eraser. Homemade tattoos that break the epithelial barrier are susceptible to infection similar to ink tattoos. Teens with infected tattoos often self treat and do not inform their parents of their condition. Homemade tattoos are often incidental findings on examination. Some teens report that their tattoos were applied against their will by another student. The motivation for teenagers to apply these tattoos may be artistic expression, peer pressure, or the need to be accepted. These tattoos are easily accessible, require no parental consent, and have no cost barrier. Homemade eraser tattoos-hypopigmented scars in various shapes or letters on the arms and legs-appear to be a phenomenon among elementary and middle school students in the United States. 1 The types of tattoos available range from temporary (eg, henna) to permanent (eg, professionally inked). In Canada, 8% of high school students have at least 1 tattoo. Up to 30% of Americans under age 30 have tattoos. Seeing teenagers with tattoos is not unusual in a dermatology practice. The infection resolved, leaving a hypopigmented scar. He was treated with antibiotics and local wound care. This patient’s wound was erythematous, indurated, warm, and tender on examination (He refused to have his wound or scars photographed). The wound would scab, leaving a permanent hypopigmented scar. The friction would eventually abrade the skin until it became red and bled. To make a tattoo, he rubbed the eraser across the skin while applying strong pressure for an extended time. When asked about the scars, the patient appeared embarrassed and stated that they were tattoos, which he created with an eraser from a pencil. On examination, he had multiple hypopigmented scars on his extremities. A 13-year-old boy from inner city Philadelphia presented with an infected “tattoo” on his right forearm.
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