title: [Sarcoid granuloma in green tattooing].
abstract: The case report is presented of a 34-year old man with the sudden appearance of multiple granulomas at the site of green tattoo markings which had been undertaken 8 years previously. Unusual was his case history of an anaphylactic reaction after the ingestion of green pistachio nuts. A non-immunological food intolerance without cross-reaction to the dye of the green tattoo namely phthalocyanine, was detected. Aerosil, colloidal silica, was found to be the trigger substance; it was present exclusively in the green dye, and was responsible for the patient's sarcoid reaction. Excision of the green tattoos employing pedicle flaps was successful. At the latest follow-up examination no features of sarcoidosis were detected.
mesh_terms: D000328:Adult; D004396:Coloring Agents / Q000009:adverse effects*; D003877:Dermatitis, Contact / Q000473:pathology*; D005260:Female; D006801:Humans; D007428:Intradermal Tests; D012507:Sarcoidosis / Q000473:pathology*; D012867:Skin / Q000473:pathology; D013653:Tattooing
chemical_list: D004396:Coloring Agents
vernacular_title: Sarkoide Granulome in grüner Tätowierung.