Sarcoidosis associated with panuveitis in the area of a tattoo: Case report

Case report

Authors

DOI:

https://doi.org/10.17533/udea.iatreia.72

Keywords:

sarcoidosis, tattooing , uveitis

Abstract

Background: One of the cutaneous reactions associated with tattoos is sarcoidosis and the most frequent presentation is systemic involvement; within this, the manifestation of uveitis and sarcoidal reactions associated with tattoos is little described.

Clinical case: A 27-year-old man with a clinical picture of six months of evolution consisting of general malaise, subjective fever, chills, myalgias, arthralgia, cough with hemoptysis, edema in lower limbs, and in whom red eye, diminution of visual acuity, and papules that infiltrated one of the tattoos that were placed, six months earlier, on the right arm and left forearm, were found.

Conclusion: Sarcoidosis associated with tattooing is a disease that requires a high index of suspicion, where its infiltration should make the clinician suspect the disease and make an active search for systemic involvement, especially in a patient with a uveal compromise that can lead to blindness. It must keep in mind that, although rare, this triple association is possible (tattoo, systemic sarcoidosis, and panuveitis).

|Abstract
= 2173 veces | PDF (ESPAÑOL (ESPAÑA))
= 238 veces| | HTML (ESPAÑOL (ESPAÑA))
= 101 veces|

Downloads

Download data is not yet available.

Author Biographies

Andrés Chavarriaga-Restrepo, Pontifical Bolivarian University

Specialist in Internal Medicine. Rheumatology Resident.

Juan Esteban López-Amaya, Pablo Tobón Uribe Hospital

Radiologist.

Miguel Antonio Mesa-Navas, Pontifical Bolivarian University. Bolivarian University Clinic

Professor of Internal Medicine and Rheumatology Specialist in Rheumatology.

Carlos Jaime Velásquez-Franco, Pontifical Bolivarian University. Bolivarian University Clinic

Professor of Internal Medicine and Rheumatology Specialist in Rheumatology.

References

(1) Spagnolo P, Luppi F, Roversi P, Cerri S, Fabbri LM, Richeldi L. Sarcoidosis: challenging diagnostic aspects of an old disease. Am J Med. 2012 Feb;125(2):118–25.

(2) Antonovich DD, Callen JP. Development of sarcoidosis in cosmetic tattoos. Arch Dermatol. 2005 Jul;141(7):869–72. DOI 10.1001/archderm.141.7.869.

(3) Ayoola R, Mansour W, Gujral J. Tattoo rash. JAMA. 2015 May;313(17):1747–8 DOI 10.1001/jama.2015.0990.

(4) Torres L, Faiz S. Images in clinical medicine. Tattoos and sarcoidosis. N Engl J Med. 2014 Jun;370(23):e34. DOI 10.1056/NEJMicm1215331.

(5) Ali SM, Gilliam AC, Brodell RT. Sarcoidosis appearing in a tattoo. J Cutan Med Surg. 2008 Feb;12(1):43–8. DOI 10.2310/7750.2007.00040.

(6) Kluger N. Tattoo‐associated uveitis with or without systemic sarcoidosis: A comparative review of the literature. J Eur Acad Dermatol Venereol. 2018 Nov;32(11):1852-61. DOI 10.1111/jdv.15070.

(7) Vagal AS, Shipley R, Meyer CA. Radiological manifestations of sarcoidosis. Clin Dermatol. 2007 May-Jun;25(3):312-25. DOI 10.1016/j.clindermatol. 2007.03.009.

(8) Baughman RP, Teirstein AS, Judson MA, Rossman MD, Yeager H, Bresnitz EA, et al. Clinical characteristics of patients in a case control study of sarcoidosis. Am J Respir Crit Care Med. 2001 Nov 15;164(10 Pt 1):1885–9. DOI 10.1164/ajrccm.164.10.2104046.

(9) Wenzel SM, Rittmann I, Landthaler M, Bäumler W. Adverse reactions after tattooing: review of the literature and comparison to results of a survey. Dermatology. 2013;226(2):138–47. DOI 10.1159/000346943.

(10) Huynh TN, Jackson JD, Brodell RT. Tattoo and vaccination sites: Possible nest for opportunistic infections, tumors, and dysimmune reactions. Clin Dermatol. 2014 Oct;32(5):678–84. DOI 10.1016/j.clindermatol. 2014.04.016.

(11) Haimovic A, Sanchez M, Judson MA, Prystowsky S. Sarcoidosis: A comprehensive review and update for the dermatologist. JAAD. 2012 May;66(5):699.e1-18;quiz 717-8. DOI 10.1016/j.jaad.2011.11.965.

(12) Papageorgiou PP, Hongcharu W, Chu AC. Systemic sarcoidosis presenting with multiple tattoo granulomas and an extra-tattoo cutaneous granuloma. JEADV. 1999 Jan;12(1):51–3. DOI 10.1111/j.1468-3083.1999.tb00809.x.

(13) Tran D, Ashton RE, Cotterill JA. Sarcoidosis presenting as tattoo granuloma inadvertently treated with laser therapy. J Cutan Laser Ther. 2000 Mar;2(1):41–3. DOI 10.1080/14628830050516605.

(14) Jamilloux Y, Kodjikian L, Broussolle C, Sève P. Sarcoidosis, and uveitis. Autoimmun Rev. 2014 Aug;13(8):840–9. DOI 10.1016/j.autrev.2014.04.001.

(15) Baughman RP, Teirstein AS, Judson MA, Rossman MD, Yeager H, Bresnitz EA, et al. Clinical characteristics of patients in a case control study of sarcoidosis. Am J Respir Crit Care Med. 2001 Nov 15;164(10 Pt 1):1885–9. DOI 10.1164/ajrccm.164.10.2104046.

(16) Evans M, Sharma O, LaBree L, Smith RE, Rao NA. Differences in clinical findings between Caucasians and African Americans with biopsy-proven sarcoidosis. Ophthalmology. 2007 Feb;114(2):325–33. DOI 10.1016/j.ophtha.2006.05.074.

(17) Hanada K, Chiyoya S, Katabira Y. Systemic sarcoidal reaction in tattoo. Clin Exp Dermatol. 1985 Sep;10(5):479–84. DOI 10.1111/j.1365-2230.1985.tb00609.x.

(18) Rorsman H, Brehmer-Andersson E, Dahlquist I, Ehinger B, Jacobsson S, Linell F, et al. Tattoo granuloma and uveitis. The Lancet Lond Engl. 1969 Jul 5;2(7610):27–8. DOI 10.1016/S0140-6736(69)92600-2.

(19) Regensburger J, Lehner K, Maisch T, Vasold R, Santarelli F, Engel E et al. Tattoo inks contain polycyclic aromatic hydrocarbons that additionally generate deleterious singlet oxygen. Exp Dermatol. 2010 Aug;19(8):e275-81. DOI 10.1111/j.1600-0625.2010.01068.x.

(20) Pericone C, Colafrancesco S, Mazor RD, Soriano A, Agmon-Levin N, Shoenfeld Y. Autoimmune/inflammatory syndrome induced by adjuvants (ASIA) 2013: Unveiling the pathogenic, clinical and diagnostic aspects. J Autoimmun. 2013 Dec;47:1-16. DOI 10.1016/j.jaut.2013.10.004.

Published

2020-08-11

How to Cite

1.
Chavarriaga-Restrepo A, López-Amaya JE, Mesa-Navas MA, Velásquez-Franco CJ. Sarcoidosis associated with panuveitis in the area of a tattoo: Case report: Case report. Iatreia [Internet]. 2020 Aug. 11 [cited 2025 Jan. 30];33(4):370-6. Available from: https://revistas.udea.edu.co/index.php/iatreia/article/view/336438

Issue

Section

Case reports

Most read articles by the same author(s)

Similar Articles

You may also start an advanced similarity search for this article.