title: Lesions Arising in a Tattoo of an Active Duty US Marine Corps Woman.
abstract: Tattoos are ubiquitous in modern society; however, they do not come without risk of medical complications. When complications arise in the military community, a particularly thorough differential diagnosis should be considered based on the increased exposures service members have during deployment and throughout their military career. We present a case of a 38-year-old active duty US Marine Corps woman with worsening skin lesions arising within a tattoo 6 weeks after acquiring the tattoo on her right chest. Given environmental exposures from a recent deployment to the Middle East, a wide differential was considered. Ultimately, a skin biopsy revealed early hypertrophic scar formation responsive to therapy with intralesional triamcinolone acetonide (Kenalog&reg; [ILK]). However, given the Marine had recently deployed and is part of the active duty population, consideration of alternative, albeit rare, etiologies was imperative.
authors.forename: Aubrey E
authors.initials: AE
authors.lastname: Winn
authors.forename: Shayna C
authors.initials: SC
authors.lastname: Rivard
authors.forename: Brian
authors.initials: B
authors.lastname: Green
mesh_terms: D000328:Adult; D017439:Cicatrix, Hypertrophic / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D015552:Injections, Intralesional; D008889:Military Personnel; D013653:Tattooing / Q000009:adverse effects*; D014222:Triamcinolone Acetonide / Q000627:therapeutic use
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide