Abstract
BACKGROUND: Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition characterized by recurrent painful nodules, abscesses, and scarring, primarily affecting intertriginous areas. As tattoos have gained widespread popularity, individuals with HS may consider getting tattooed. SUMMARY: Patients with HS are exposed to the same potential risks as the general population and they include the possibility of delayed healing, tattoo allergies, or infections. Additionally, future location of the tattoo and timing of the procedure need to be considered. While no extensive clinical studies specifically address the relationship between tattoos and HS, anecdotal reports suggest that individuals with well-controlled HS may tolerate tattoos in unaffected areas. KEY-MESSAGE: HS is not a contraindication for tattooing, but patients need proper guidance. Proper pre-tattoo consultation with dermatologists, careful site selection, tattooing by a professional artist in a tattoo parlor and strict aftercare protocols are essential to minimize complications.