title: Perforating granulomatous dermatitis reaction to exogenous tattoo pigment: a case report and review of the literature.
abstract: : The majority of cutaneous hypersensitivity reactions to exogenous tattoo pigments can be histologically classified as lichenoid or granulomatous. The etiology is still uncertain but is generally accepted to be a delayed-type hypersensitivity reaction to either the pigment itself or its carrier solution. In this report, we review the literature concerning adverse reactions to tattoos. In addition, we describe the second case of a localized granulomatous dermatitis to the red dye within a tattoo that histologically resembled granuloma annulare. This is the first reported example of a perforating granuloma annulare-like reaction.
authors: *University of Texas Health Science Center at Houston; †University of Texas Medical Branch at Galveston; ‡Snyder Dermatology and Plastic Surgery, Austin, TX; and §Clinical Pathology Associates and Department of Dermatopathology UT Southwestern, Austin, TX.
authors: Sarah A
authors: SA
authors: Sweeney
authors: Lindsey D
authors: LD
authors: Hicks
authors: Nicholas
authors: N
authors: Ranallo
authors: Ned
authors: N
authors: Snyder
authors: Anthony C
authors: AC
authors: Soldano
mesh_terms: D004396:Coloring Agents / Q000009:adverse effects*; D003872:Dermatitis / Q000209:etiology* / Q000473:pathology; D005260:Female; D016460:Granuloma Annulare / Q000139:chemically induced* / Q000473:pathology; D006801:Humans; D006967:Hypersensitivity / Q000209:etiology* / Q000473:pathology; D013653:Tattooing / Q000009:adverse effects*; D055815:Young Adult
chemical_list: D004396:Coloring Agents