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Image Number 508 (Tattoo reaction)

 
Morphology:
Indurated

Diagnosis: Tattoo reaction

Site: Arm,forearm

Sex: F

Age: 34

Type: Clinical

Description: Induration of the blue black tattooed area

Submitted by: Ian McColl

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Differential Diagnosis

History: Many reactions can occur in tattoos but one commonly sees reactions to pigments.Red pigment is the commonest causing a reaction but in this case it was to the blue black pigment.Cinnabar (mercuric sulfide) is the red colour.Cadmium sulfide causes a yellow colour and may be the source of local photosensitivity reactions.Discoid lupus erythematosus has been associatedwith the red portions of tattoos and sarcoidal nodules have also been seen.

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