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Multiple epidermal cysts occurring in a tattoo.

M J A Koh1, R Y L Teo, T T Liu

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Decorative tattooing can lead to rare skin reactions. This case report details the first instance of multiple epidermal cysts developing after a tattoo procedure.

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Area of Science:

  • Dermatology
  • Dermatopathology

Background:

  • Decorative tattooing involves introducing pigments into the skin via needles or a tattoo gun.
  • Several adverse skin reactions, including inflammatory, hypersensitivity, pseudolymphomatous reactions, and infections, are known complications of tattooing.

Observation:

  • A 24-year-old Malay man presented with multiple epidermal cysts.
  • The cysts appeared approximately one month following a decorative tattooing procedure.

Findings:

  • This case represents the first documented instance of epidermal cysts developing subsequent to skin tattooing.
  • The etiology linking tattooing to epidermal cyst formation requires further investigation.

Implications:

  • This report highlights a novel potential complication of decorative tattooing.
  • Clinicians should consider tattooing as a potential trigger for epidermal cyst development in affected individuals.