Getting a tattoo when you have psoriasis requires careful consideration. While not strictly off-limits, individuals with psoriasis face unique risks that must be understood before going under the needle. The primary concern is the Koebner phenomenon, where skin irritation—like that caused by a tattoo—can trigger a psoriasis flare at the tattooed site. This isn’t guaranteed, but those who experience flares from cuts or burns are more likely to react to a tattoo.
Potential Complications
Beyond flares, tattoo ink itself can pose problems. Many inks contain chemicals like aluminum, iron oxide, mercury sulfide, and cadmium sulfide, which can cause allergic reactions (rashes, swelling) or, in some cases, photoallergic reactions triggered by sunlight. If you have sensitive skin, patch testing beforehand is advisable, though not foolproof.
Choosing a Safe Studio
If you decide to proceed, selecting a reputable tattoo artist and studio is crucial. Look for licensed professionals working in registered parlors that follow strict sanitation protocols. People with psoriasis are more vulnerable to infection, so cleanliness is paramount. Always inform your artist about your condition —they may not be aware of the risks.
Managing Flares After Tattooing
If a flare develops, topical creams (like cortisone) are often effective. If you have prescribed psoriasis medication, it’s generally safe to apply it to the tattooed area for short-term relief. However, if symptoms persist for more than two weeks, consult a dermatologist. Severe flares may require systemic therapies or phototherapy.
The Bottom Line
Tattoos can exacerbate psoriasis, particularly through the Koebner phenomenon and potential allergic reactions to ink. Proceed with caution, choose a sterile studio, and be prepared to manage potential flares with medical guidance. Consulting a dermatologist before getting inked is highly recommended.
