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Dermatology Case Review

Joseph F. Merola, MD  |  Issue: January 2012  |  January 13, 2012

Figure 1: Erythematous, firm nodules with foci of superficial erosion localized to red-containing pigmentary areas of a recently placed tattoo (note involvement of the cartoon’s lips, dress, and heart shape).

Editor’s Note: This month The Rheumatologist is introducing a new feature: Dermatology Case Review. See if you can diagnose the dermatological condition from the photograph and case history.

The Case

A 33-year-old woman presents with somewhat pruritic, nodular lesions worsening over the past three months in the site of a newly placed tattoo. The nodules are restricted to certain portions of the tattoo only (see Figure 1).

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What is your diagnosis?

  1. Majocchi’s granuloma
  2. Atypical mycobacterial infection
  3. Hypersensitivity reaction to tattoo particles
  4. Sarcoidosis
  5. Hypertrophic lichen planus

click here for the answer.

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Filed under:ConditionsOther Rheumatic ConditionsSystemic Sclerosis Tagged with:Dermatologypatient carerheumatologistSarcoidosisScleroderma

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