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Tattoo reactions

Also called: Tattoo reaction

Rash, bumps, or infection in a tattoo, from allergy to ink (often red) or bacteria.

Red inkMost common allergy

Overview

Reactions can start soon after a tattoo or years later.

Infections usually show within days with redness, warmth, and pus.

Symptoms

Common signs:

  • Itchy or raised tattoo
  • Red spot, bump, or patch on the skin

Less common

  • Pus

Look up a symptom: Itching · Red spot, bump, or patch on the skin

When to get medical care

Call 911Fever with spreading redness.
Get care todayNew or worse symptoms, or symptoms with fever.
See a doctor soonSymptoms that last or keep coming back.

Causes

Ink, bacteria.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • People with red ink tattoos: More allergic reactions
  • People with psoriasis or eczema: Higher risk

Possible complications

  • Skin infection: From unclean equipment

Diagnosis

A clinician asks about your symptoms and may order tests.

The exam

A physical exam.

Tests

Tests, if needed:

  • Exam:

Treatment

Treatment depends on the cause and how severe it is.

Self-care

  • Keep it clean
  • Keep the tattoo clean
  • Use cool compresses

Prevention

To lower your risk or prevent problems:

  • Use a licensed tattoo studio

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to a dermatologist (skin doctor).

Children, pregnancy, and older adults

  • People with eczema or psoriasis: Tattoos can trigger flares.

Pregnancy and breastfeeding

  • If you're pregnant or planning to be, tell your prenatal provider about this condition.
  • Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
  • Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
  • Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Most reactions are treatable.

Most reactions settle with treatment.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

  • A list of your medicines and supplements
  • Notes on when symptoms started and what makes them better or worse

Questions to ask

  • What's causing this?
  • What treatment do you recommend?
  • Do I need antibiotics?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Tattoo reactions

Sources

Last updated 2026-11-12.