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Correspondence |

Comparison of Treatment Options for a Monsel Tattoo

Shaline Rao, MD; Jaime A. Tschen, MD; Gregory W. Pearson, MD; Ramsey Markus, MD; Isaac Brownell, MD, PhD
Arch Dermatol. 2007;143(11):1447-1462. doi:10.1001/archderm.143.11.1452.
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Monsel solution is a hemostatic agent used in minor surgical procedures. It scleroses blood vessels by depositing ferric salts that precipitate proteins. Rarely, these deposits remain visible in the skin creating a Monsel tattoo. Herein we compare 3 methods used to treat a Monsel tattoo.

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PubMed Link to Article[[XSLOpenURL/10.1097/00000372-198000230-00002]]
Olmstead  PMLund  HZLeonard  DD Monsel's solution: a histologic nuisance. J Am Acad Dermatol 1980;3 (5) 492- 498
PubMed Link to Article[[XSLOpenURL/10.1016/S0190-9622(80)80115-0]]
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PubMed Link to Article[[XSLOpenURL/10.1097/00000372-198100310-00014]]
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PubMed Link to Article[[XSLOpenURL/10.1016/S0190-9622(83)80062-0]]
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PubMed Link to Article[[XSLOpenURL/10.2165/00128071-200102010-00004]]
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Monsel tattoo measuring 12 × 10 mm. A, At 17 weeks after biopsy and prior to the first set of treatments. B, At 23 weeks after biopsy and prior to the second set of treatments. C, At 30 weeks after biopsy. D, Perl-stained, 3-mm punch biopsy specimens taken from each study quadrant (original magnification ×40). LN indicates liquid nitrogen; nt, no treatment (control); 532, 532-nm Q-Switched Nd:YAG laser; and 1064, 1064-nm Q-Switched Nd:YAG laser.

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