title: Looking beyond the cosmetic tattoo lesion near the eyebrow: Screening the lungs.
abstract: Cosmetic tattooing has become a risk factor for several adverse reactions related to inks, procedures, and associated clinical conditions. Development of a sarcoid reaction to the inserted tattoo pigment in the skin is not common. We report a 45 year-old patient with history of dyspnea and mild cough since two years who had subsequently developed reddish, scaly lesions in her 15-year old tattoo done near her right eyebrow. Skin biopsy of the tattoo lesion revealed cutaneous sarcoidosis which led to further investigations and a diagnosis of pulmonary sarcoidosis. The present case highlights the fact that cutaneous sarcoidosis can develop in a long-standing tattoo. Also such a patient should be screened for systemic sarcoidosis disease.
authors.affiliation: Skin diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: F Fatemi
authors.initials: FF
authors.lastname: Naeini
authors.affiliation: Cancer Research Center, Semnan University of Medical Sciences, Semnan; Department of Ophthalmology, Students' Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: M
authors.initials: M
authors.lastname: Pourazizi
authors.affiliation: Skin diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: B
authors.initials: B
authors.lastname: Abtahi-Naeini
authors.affiliation: Department of Clinical Pharmacy, Pharmacy Students' Research Committee, School of Pharmacy, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: A
authors.initials: A
authors.lastname: Saffaei
authors.affiliation: Department of Orthodontics, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: F
authors.initials: F
authors.lastname: Bagheri
mesh_terms: D001706:Biopsy; D003879:Dermatologic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D005138:Eyebrows; D005260:Female; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D000072281:Lymphadenopathy / Q000000981:diagnostic imaging; D008875:Middle Aged; D011241:Prednisone / Q000008:administration & dosage*; D017565:Sarcoidosis, Pulmonary / Q000175:diagnosis* / Q000188:drug therapy; D012867:Skin / Q000473:pathology*; D016559:Tacrolimus / Q000008:administration & dosage / Q000031:analogs & derivatives / Q000627:therapeutic use; D013653:Tattooing / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D003879:Dermatologic Agents; C117268:pimecrolimus; D011241:Prednisone; D016559:Tacrolimus