title: Inoculation site leprosy in a tattoo as a paradoxical reaction following tuberculosis treatment.
abstract: We present a patient who developed inoculation site leprosy in a tattoo, which was confirmed by Mycobacterium leprae DNA sequencing of a polymerase chain reaction product from a skin biopsy. His leprosy became manifest as a paradoxical reaction only after 8 weeks of treatment for pulmonary tuberculosis.
authors.affiliation: Department of Respiratory Medicine, St James' Hospital, Dublin, Ireland.
authors.forename: P
authors.initials: P
authors.lastname: Branagan
authors.affiliation: Department of Dermatology, St James' Hospital, Dublin, Ireland.
authors.forename: B
authors.initials: B
authors.lastname: Moran
authors.affiliation: National Mycobacteria Reference Laboratory, St James' Hospital, Dublin, Ireland.
authors.forename: M
authors.initials: M
authors.lastname: Fitzgibbon
authors.affiliation: Department of Neurophysiology, Mater Misericordiae Hospital, Dublin, Ireland.
authors.forename: V
authors.initials: V
authors.lastname: Reid
authors.affiliation: Department of Histopathology, St James' Hospital, Dublin, Ireland.
authors.forename: M
authors.initials: M
authors.lastname: McMenamin
authors.affiliation: Department of Respiratory Medicine, St James' Hospital, Dublin, Ireland.
authors.forename: M
authors.initials: M
authors.lastname: Kane
authors.affiliation: Department of Respiratory Medicine, St James' Hospital, Dublin, Ireland.
authors.forename: F
authors.initials: F
authors.lastname: Kelly
authors.affiliation: Department of Dermatology, St James' Hospital, Dublin, Ireland.
authors.forename: L
authors.initials: L
authors.lastname: Barnes
authors.affiliation: Department of Respiratory Medicine, St James' Hospital, Dublin, Ireland.
authors.forename: A
authors.initials: A
authors.lastname: McLaughlin
authors.affiliation: Department of Respiratory Medicine, Institute of Molecular Medicine, Trinity College, Dublin, Ireland.
authors.forename: J
authors.initials: J
authors.lastname: Keane
mesh_terms: D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use*; D001706:Biopsy; D004269:DNA, Bacterial / Q000235:genetics / Q000302:isolation & purification; D006801:Humans; D015440:Leprosy, Lepromatous / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology* / Q000635:transmission; D008297:Male; D009166:Mycobacterium leprae / Q000235:genetics / Q000302:isolation & purification*; D013653:Tattooing / Q000009:adverse effects*; D013997:Time Factors; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology
chemical_list: D000995:Antitubercular Agents; D004269:DNA, Bacterial