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Lichen planus pemphigoides after body tattooing
Agnes Lim1, Po Yin Tang2, Choon Chiat Oh1
1Department of Dermatology, Singapore General Hospital, Singapore, Singapore.
Journal of Cosmetic Dermatology
|June 17, 2020
Summary
Decorative tattoos can cause rare skin reactions like lichen planus and lichen planus pemphigoides. This case highlights a patient who developed these conditions after a black ink tattoo, emphasizing the need for awareness.
Area of Science:
- Dermatology
- Immunology
Background:
- Decorative tattooing is globally prevalent.
- Tattooing is linked to various cutaneous complications, including infections and skin reactions.
Observation:
- A patient developed generalized, violaceous, pruritic papular lesions one month post-black ink tattoo.
- Histology revealed focal band-like lymphocytic infiltrate in a papular lesion.
- The patient later developed bullae and had elevated serum BP180 antibody levels.
Findings:
- The patient was diagnosed with generalized lichen planus and lichen planus pemphigoides.
- Treatment with potent topical corticosteroids and ciclosporin led to improvement.
- A literature review of lichenoid reactions associated with tattoos was conducted.
Implications:
- Increased awareness of tattoo-associated dermatoses is crucial due to the rising popularity of tattoos.
- Early diagnosis and appropriate management can improve patient outcomes.
- Understanding the immunological basis of these reactions is important for future research.
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