"Critical Care A Day"
Thursday September 19, 2024
Thursday September 19, 2024
Q: Which color of ink is more prone to cause Tattoo sarcoidosis? - select one
A) black
B) blue
C) red
D) green
E) purple
Answer: C
It may of interest to know that sarcoidal granulomas if develop in tattoos can be the presenting signs of sarcoidosis. All such patients should be evaluated for systemic disease. It may even take decades for such manifestation but it usually occurs within one year of the tattoo placement.
For reasons not fully unknown red ink (cinnabar) tattoos are most commonly affected, though other pigments can also be culprit. Eyebrows and lips tends to get effected more.
On physical exam, it appears like papules within tattoo which are usually raised, firm, and edematous. Patient reports pain and/or pruritus. Histopathology shows the presence of sarcoidal granulomas with aggregates of epithelioid cells surrounded by peripheral rings of lymphocytes. Differential diagnosis includes foreign body reaction.
#dermatology
#vasculitis
References:
1. Antonovich DD, Callen JP. Development of sarcoidosis in cosmetic tattoos. Arch Dermatol 2005; 141:869.
2. Caplan A, Rosenbach M, Imadojemu S. Cutaneous Sarcoidosis. Semin Respir Crit Care Med. 2020 Oct;41(5):689-699. doi: 10.1055/s-0040-1713130. Epub 2020 Jun 27. PMID: 32593176.
3. Abdelghaffar M, Hwang E, Damsky W. Cutaneous Sarcoidosis. Clin Chest Med. 2024 Mar;45(1):71-89. doi: 10.1016/j.ccm.2023.08.004. Epub 2023 Oct 28. PMID: 38245372.
A) black
B) blue
C) red
D) green
E) purple
Answer: C
It may of interest to know that sarcoidal granulomas if develop in tattoos can be the presenting signs of sarcoidosis. All such patients should be evaluated for systemic disease. It may even take decades for such manifestation but it usually occurs within one year of the tattoo placement.
For reasons not fully unknown red ink (cinnabar) tattoos are most commonly affected, though other pigments can also be culprit. Eyebrows and lips tends to get effected more.
On physical exam, it appears like papules within tattoo which are usually raised, firm, and edematous. Patient reports pain and/or pruritus. Histopathology shows the presence of sarcoidal granulomas with aggregates of epithelioid cells surrounded by peripheral rings of lymphocytes. Differential diagnosis includes foreign body reaction.
#dermatology
#vasculitis
References:
1. Antonovich DD, Callen JP. Development of sarcoidosis in cosmetic tattoos. Arch Dermatol 2005; 141:869.
2. Caplan A, Rosenbach M, Imadojemu S. Cutaneous Sarcoidosis. Semin Respir Crit Care Med. 2020 Oct;41(5):689-699. doi: 10.1055/s-0040-1713130. Epub 2020 Jun 27. PMID: 32593176.
3. Abdelghaffar M, Hwang E, Damsky W. Cutaneous Sarcoidosis. Clin Chest Med. 2024 Mar;45(1):71-89. doi: 10.1016/j.ccm.2023.08.004. Epub 2023 Oct 28. PMID: 38245372.