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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Piercings and tattoos have become very popular in western society in recent decades&#44; particularly among younger generations&#46; Reports of medical complications associated with these decorative techniques have increased in parallel with the rise in their popularity&#46; Due to their high frequency&#44; adverse cutaneous reactions are particularly important among these potential complications&#46; Tattoo-related complications include a number of cutaneous and systemic infections secondary to breach of the epidermal barrier&#44; acute and delayed inflammatory reactions with different histopathological patterns&#44; the appearance of benign and malignant tumors on tattooed areas of skin&#44; and certain dermatoses triggered by isomorphic phenomena&#46; Piercing-related complications are similar&#44; though some&#44; such as pyogenic skin infections&#44; are much more common due to the delayed wound healing after piercing in certain sites&#46; We must differentiate between complications that are independent of the site of piercing&#44; and specific complications&#44; which are closely related to the body area pierced&#46; The rate of complications after performing piercings or tattoos depends on the experience of the artist&#44; the hygiene techniques applied&#44; and the postprocedural care by the customer&#46; However&#44; some of these complications are unpredictable and depend on factors intrinsic to the patient&#46; In this article&#44; we review the most common decorative techniques of body art&#44; with particular focus on the potential cutaneous complications and their management&#46;</p>"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">En las &#250;ltimas d&#233;cadas&#44; la realizaci&#243;n de piercings y tatuajes se ha convertido en una pr&#225;ctica muy popular en los pa&#237;ses occidentales&#44; especialmente entre los m&#225;s j&#243;venes&#46; Paralelamente al auge de estas t&#233;cnicas decorativas corporales&#44; las comunicaciones acerca de complicaciones m&#233;dicas asociadas han aumentado&#46; De todas estas complicaciones potenciales destacan por su frecuencia las que afectan a la piel y mucosas&#46; Las complicaciones asociadas a los tatuajes incluyen m&#250;ltiples procesos infecciosos&#44; cut&#225;neos o sist&#233;micos&#44; debido a la ruptura de la barrera epid&#233;rmica&#44; reacciones inflamatorias agudas y cr&#243;nicas con diferentes patrones histol&#243;gicos&#44; la aparici&#243;n de tumores benignos y malignos sobre &#225;reas tatuadas o el brote de ciertas dermatosis por el fen&#243;meno isom&#243;rfico&#46; Las complicaciones asociadas a los <span class="elsevierStyleItalic">piercings</span> son similares&#44; aunque algunas de ellas&#44; como las piodermitis&#44; son mucho m&#225;s comunes debido al lento proceso de cicatrizaci&#243;n de la perforaci&#243;n en determinadas localizaciones&#46; Hemos de diferenciar entre las complicaciones que son independientes de la localizaci&#243;n del piercing y de las complicaciones espec&#237;ficas&#44; las cuales est&#225;n estrechamente relacionadas con el &#225;rea perforada&#46; La tasa de complicaciones tras la realizaci&#243;n de tatuajes y perforaciones depende de la experiencia del artista&#44; de las condiciones higi&#233;nicas en las que tiene lugar y de los cuidados posteriores tras la realizaci&#243;n de la t&#233;cnica por parte del propio cliente&#46; Sin embargo&#44; algunas de estas complicaciones son impredecibles y dependen de factores intr&#237;nsecos del propio paciente&#46; En este art&#237;culo revisamos las t&#233;cnicas decorativas m&#225;s frecuentes que abarca el <span class="elsevierStyleItalic">body art</span>&#44; con especial inter&#233;s en sus posibles complicaciones cut&#225;neas y en el manejo de &#233;stas&#46;</p>"
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Review article
Cutaneous Adverse Reactions to Tattoos and Piercings
Reacciones Cutáneas Adversas por Tatuajes y Piercings
J. Mataix
Autor para correspondencia
mataixdiaz@hotmail.com

Correspondence: Javier Mataix, Servicio de Dermatología, Hospital General Universitario, Avda. Pintor Baeza, s/n., 03010 Alicante, Spain.
, J.F. Silvestre
Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, Spain
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    "cabecera" => "<span class="elsevierStyleTextfn">Review article</span>"
    "titulo" => "Cutaneous Adverse Reactions to Tattoos and Piercings"
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        "autoresLista" => "J&#46; Mataix, J&#46;F&#46; Silvestre"
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            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital General Universitario de Alicante&#44; Alicante&#44; Spain"
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            "correspondencia" => "Correspondence&#58; Javier Mataix&#44; Servicio de Dermatolog&#237;a&#44; Hospital General Universitario&#44; Avda&#46; Pintor Baeza&#44; s&#47;n&#46;&#44; 03010 Alicante&#44; Spain&#46;"
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      "es" => array:1 [
        "titulo" => "Reacciones Cut&#225;neas Adversas por <span class="elsevierStyleItalic">Tatuajes y Piercings</span>"
      ]
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            0 => "scarification"
            1 => "implanting"
            2 => "tattoo"
            3 => "piercing"
            4 => "pocketing"
            5 => "cutaneous adverse reactions"
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            0 => "escarificaci&#243;n"
            1 => "<span class="elsevierStyleItalic">implanting</span>"
            2 => "tatuaje"
            3 => "<span class="elsevierStyleItalic">piercing</span>"
            4 => "<span class="elsevierStyleItalic">pocketing</span>"
            5 => "reacciones cut&#225;neas adversas"
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        "titulo" => "Abstract"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Piercings and tattoos have become very popular in western society in recent decades&#44; particularly among younger generations&#46; Reports of medical complications associated with these decorative techniques have increased in parallel with the rise in their popularity&#46; Due to their high frequency&#44; adverse cutaneous reactions are particularly important among these potential complications&#46; Tattoo-related complications include a number of cutaneous and systemic infections secondary to breach of the epidermal barrier&#44; acute and delayed inflammatory reactions with different histopathological patterns&#44; the appearance of benign and malignant tumors on tattooed areas of skin&#44; and certain dermatoses triggered by isomorphic phenomena&#46; Piercing-related complications are similar&#44; though some&#44; such as pyogenic skin infections&#44; are much more common due to the delayed wound healing after piercing in certain sites&#46; We must differentiate between complications that are independent of the site of piercing&#44; and specific complications&#44; which are closely related to the body area pierced&#46; The rate of complications after performing piercings or tattoos depends on the experience of the artist&#44; the hygiene techniques applied&#44; and the postprocedural care by the customer&#46; However&#44; some of these complications are unpredictable and depend on factors intrinsic to the patient&#46; In this article&#44; we review the most common decorative techniques of body art&#44; with particular focus on the potential cutaneous complications and their management&#46;</p>"
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        "titulo" => "Resumen"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">En las &#250;ltimas d&#233;cadas&#44; la realizaci&#243;n de piercings y tatuajes se ha convertido en una pr&#225;ctica muy popular en los pa&#237;ses occidentales&#44; especialmente entre los m&#225;s j&#243;venes&#46; Paralelamente al auge de estas t&#233;cnicas decorativas corporales&#44; las comunicaciones acerca de complicaciones m&#233;dicas asociadas han aumentado&#46; De todas estas complicaciones potenciales destacan por su frecuencia las que afectan a la piel y mucosas&#46; Las complicaciones asociadas a los tatuajes incluyen m&#250;ltiples procesos infecciosos&#44; cut&#225;neos o sist&#233;micos&#44; debido a la ruptura de la barrera epid&#233;rmica&#44; reacciones inflamatorias agudas y cr&#243;nicas con diferentes patrones histol&#243;gicos&#44; la aparici&#243;n de tumores benignos y malignos sobre &#225;reas tatuadas o el brote de ciertas dermatosis por el fen&#243;meno isom&#243;rfico&#46; Las complicaciones asociadas a los <span class="elsevierStyleItalic">piercings</span> son similares&#44; aunque algunas de ellas&#44; como las piodermitis&#44; son mucho m&#225;s comunes debido al lento proceso de cicatrizaci&#243;n de la perforaci&#243;n en determinadas localizaciones&#46; Hemos de diferenciar entre las complicaciones que son independientes de la localizaci&#243;n del piercing y de las complicaciones espec&#237;ficas&#44; las cuales est&#225;n estrechamente relacionadas con el &#225;rea perforada&#46; La tasa de complicaciones tras la realizaci&#243;n de tatuajes y perforaciones depende de la experiencia del artista&#44; de las condiciones higi&#233;nicas en las que tiene lugar y de los cuidados posteriores tras la realizaci&#243;n de la t&#233;cnica por parte del propio cliente&#46; Sin embargo&#44; algunas de estas complicaciones son impredecibles y dependen de factores intr&#237;nsecos del propio paciente&#46; En este art&#237;culo revisamos las t&#233;cnicas decorativas m&#225;s frecuentes que abarca el <span class="elsevierStyleItalic">body art</span>&#44; con especial inter&#233;s en sus posibles complicaciones cut&#225;neas y en el manejo de &#233;stas&#46;</p>"
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