• Yan Jing Chen, Owais Nabi, Ping Diao, Ruo Yu Wan, and Li Li.
• West China Hospital, Sichuan University, China.
• Medicine (Baltimore). 2020 Apr 1; 99 (15): e19744.

RationaleTattooing is a procedure where ink is inserted typically in the intraepidermal space of the skin. Multiple incidences of viral infections following tattooing which lead to warts have been reported in recent years. The aim of this report was to show a relatively rare adverse effect after tattooing - verruca plana.Patient ConcernsA 27-year-old female presented to our department with complains of multiple verrucous papules over her 2-year-old tattoo without itch.DiagnosesPathological investigation confirmed the diagnosis as verruca plana.InterventionsThe patient was treated with 3 cycles of liquid nitrogen cryotherapy and 5% imiquimod cream for 5 months.OutcomesA significant improvement in her lesions was observed after the combined treatment.LessonsClinically, verruca plana post-tattooing is relatively less reported. We need to combine clinical manifestations with pathological results to arrive at a definitive diagnosis. Besides, there are a large numbers of post-tattoo complications and various routes of virus inoculation. Therefore, it is important for medical professionals to caution people before considering to have a tattoo.

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