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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.

Amazon  KRobinson  MJRywlin  AM Ferrugination caused by Monsel's solution: clinical observations and experimentations. Am J Dermatopathol 1980;2 (3) 197- 205
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]]
Wood  C Atypical reactions to Monsel's solution. Am J Dermatopathol 1981;3 (1) 97- 99
PubMed Link to Article[[XSLOpenURL/10.1097/00000372-198100310-00014]]
Horn  MSCirceo  RBHassan  C Radiographic artifacts produced by silver nitrate and Monsel's solution. J Am Acad Dermatol 1983;8 (4) 560- 561
PubMed Link to Article[[XSLOpenURL/10.1016/S0190-9622(83)80062-0]]
Kuperman-Beade  MLevine  VJAshinoff  R Laser removal of tattoos. Am J Clin Dermatol 2001;2 (1) 21- 25
PubMed Link to Article[[XSLOpenURL/10.2165/00128071-200102010-00004]]
Solis  RRDiven  DGColome-Grimmer  MISnyder  N  IVWagner  RF  Jr Experimental nonsurgical tattoo removal in a guinea pig model with topical imiquimod and tretinoin. Dermatol Surg 2002;28 (1) 83- 86
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Figure.

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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