• J Cutan Med Surg · Jan 2008

    Review Case Reports

    Sarcoidosis appearing in a tattoo.

    • Saba M Ali, Anita C Gilliam, and Robert T Brodell.
    • Northeastern Ohio Universities College of Medicine, Rootstown, OH, USA.
    • J Cutan Med Surg. 2008 Jan 1;12(1):43-8.

    BackgroundSarcoidosis is a systemic disease that may present as tattoo granulomas.ObjectiveA patient with systemic sarcoidosis who developed a granulomatous reaction within a tattoo is presented to stimulate interest in this unusual phenomenon.Methods And ResultsA patient with a 6-year history of pulmonary sarcoidosis developed sarcoidal granulomas restricted to one pigment of a tattoo. Previous reports of sarcoidal granulomas within tattoos are reviewed, and information about the pathogenesis of this process is explored.ConclusionSarcoid granulomas may develop in tattoos as an isolated local reaction or as the presenting sign of systemic sarcoidosis. The reaction itself may provide insight into further understanding the pathogenesis of sarcoidosis.

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