Are skin hives, itchiness, and redness after two days of getting a henna tattoo a sign of hypertrophic scarring?

Question

Hello doctor,

Two and a half weeks ago I got a henna tattoo done on my arm and hand. Two days after receiving the tattoo I got a reaction on my skin (hives, itchy, and slight redness). I treated the areas with hydrocortisone and antihistamine. However, the area has now got worse (see attached photos) is this hypertrophic scaring? What are my options for this? I did an online doctor consultation and was prescribed Penicillin antibiotics, a Prednisone tablet, and Betamethasone/Fusidic acid cream. The doctor thinks it is hypertrophic scarring. Is there any point in using the above medications? I am looking into silicone gel at the moment.

Thank you.

Answer 1

Hello,

I appreciate you signing up on icliniq.

You now have exclusive access to expert medical opinion.

I read your query and understand your concern.

My advice:

Consult your specialist doctor, talk to them, and take medications after their consent.

Apply Hexilac (Allium cepa, allantoin, and Heparin) gel in the evening for 30 days.
Take a tablet of Wysolone (Prednisolone) 10 mg once a day before breakfast for five days.
Take a tablet of Loratadine 10 mg once a day after breakfast for 10 days.
Apply Mometasone cream at night for 10 days.
Apply Physiogel Hypoallergic (Aqua, capric triglyceride, glycerine, pentylene glycol, cocos nucifera oil, Elaeis guineensis oil, etc.) lotion or Dermocalm lotion (Calamine and light liquid paraffin) or Lacto calamine lotion two to three times daily for 10 days.
Take a tablet of Allegra (Fexofenadine) at night after food for 10 days.
Avoid scratching and rubbing of lesions.
Keep the area clean and dry.
Avoid friction/injury/occlusion.
Avoid trigger factors.
Avoid using tattoo in the future as it causes an allergic rash.

Follow up after 30 days.

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