[A woman with skin lesions in a tattoo].
A healthy 32-year-old woman presented with red papules in tattoos on the right upper arm and right ankle as well as on non-tattooed skin of the right knee, existing since 3 months. Histopathological examination of skin biopsies showed granulomatous inflammation, suggestive for sarcoidosis. An X-ray and CT-scan of the thorax showed hilar lymphadenopathy suggestive of sarcoidosis. Skin lesions in tattoos can be the first symptom of systemic sarcoidosis. Further investigation in these cases is recommended.
Flevoziekenhuis, afd. Dermatologie, Almere, the Netherlands. sannewijtvliet@hotmail.com
Sanne L C
SL
Wijtvliet
Roël A M
RA
Chin-A-Lien
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001623:Betamethasone / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D017565:Sarcoidosis, Pulmonary / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D012871:Skin Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D013653:Tattooing / Q000009:adverse effects; D016896:Treatment Outcome
D000893:Anti-Inflammatory Agents; D001623:Betamethasone