Granulomatous tattoo reaction treated with topical allopurinol

Author:

Moreno-Casas Guillermo1ORCID,Pereira-González Antonio1,Rodríguez-Nevado Isabel1,Rubio-Fernández Alejandro2,Chaves-Álvarez Antonio1

Affiliation:

1. Departments of Dermatology and

2. Pathology, University Hospital Badajoz , Spain

Abstract

Abstract Granulomatous reactions to tattoo ink have been frequently associated with exogenous pigment, although sometimes they are the manifestation of a cutaneous or an underlying systemic sarcoidosis. We report a case of a patient with a granulomatous reaction to a black tattoo pigment treated with 3% topical allopurinol for 3 months. We observed complete resolution without any side-effects. Examination and follow-up ruled out sarcoidosis. Oral allopurinol has been proven to be effective for the management of granulomatous reactions to tattoos. Based on the significant improvement we have described in our patient, we recommend new studies to reveal all the potential benefits of the topical use of allopurinol for the treatment of granulomatous reactions to tattoo ink.

Publisher

Oxford University Press (OUP)

Subject

Dermatology

Reference12 articles.

1. Sarcoidosis with sarcoidal reaction in tattoo;Obermayer;Arch Dermatol,1955

2. Tattoo complains and complications: diagnosis and clinical spectrum;Serup;Curr Probl Dermatol,2015

3. Cutaneous allergic reactions to tattoo ink;Kaur;J Cosmet Dermatol,2009

4. Tattoos: dermatological complications;Kazandjieva;Clin Dermatol,2007

5. A delayed granulomatous reaction to a cosmetic tattoo of the eyebrows: a report of total regression after intralesional corticosteroid injection;Quint;Dermatol Surg,2012

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