TY - JOUR
T1 - Tattoo skin reaction as a skin manifestation of systemic sarcoidosis
AU - Mukai, Tomoyuki
AU - Fujiwara, Dan
AU - Miyake, Tomoko
AU - Fujita, Shunichi
AU - Morizane, Shin
AU - Morita, Yoshitaka
N1 - Funding Information:
The authors thank Dr. Kunihiro Omonishi (Department of Pathology, Fukuyama City Hospital) for useful discussion. The authors thank Enago for English editing.
Publisher Copyright:
© 2020 Japan College of Rheumatology.
PY - 2021
Y1 - 2021
N2 - A 41-year-old man presented with itching of the skin surrounding his tattoos, blurred vision, fever, general fatigue, and arthralgia. Physical examination revealed skin bulges confined to the tattoo ink lines. Histological analyses of the skin revealed non-caseating granulomas surrounding the tattoo inks. Together with other clinical manifestations including uveitis, lymph nodes swelling, and elevated serum angiotensin-converting enzyme and lysozyme, he was diagnosed with systemic sarcoidosis. The administration of prednisolone alleviated the sarcoidosis-related symptoms, including skin changes. This case illustrates that skin changes on tattoos can be a presenting manifestation of systemic sarcoidosis and that skin biopsy is useful in early diagnosis.
AB - A 41-year-old man presented with itching of the skin surrounding his tattoos, blurred vision, fever, general fatigue, and arthralgia. Physical examination revealed skin bulges confined to the tattoo ink lines. Histological analyses of the skin revealed non-caseating granulomas surrounding the tattoo inks. Together with other clinical manifestations including uveitis, lymph nodes swelling, and elevated serum angiotensin-converting enzyme and lysozyme, he was diagnosed with systemic sarcoidosis. The administration of prednisolone alleviated the sarcoidosis-related symptoms, including skin changes. This case illustrates that skin changes on tattoos can be a presenting manifestation of systemic sarcoidosis and that skin biopsy is useful in early diagnosis.
KW - corticosteroid
KW - cutaneous sarcoidosis
KW - Sarcoidosis
KW - skin biopsy
KW - tattoo
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U2 - 10.1080/24725625.2020.1816645
DO - 10.1080/24725625.2020.1816645
M3 - Article
C2 - 32967569
AN - SCOPUS:85128456853
SN - 2472-5625
VL - 5
SP - 167
EP - 171
JO - Modern Rheumatology Case Reports
JF - Modern Rheumatology Case Reports
IS - 1
ER -