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Multiple Keratoacanthomas after a Recent Tattoo: A Case Report.

Fouad Mitri¹, Wolfgang Hartschuh¹, Ferdinand Toberer¹

¹Department of Dermatology, University Hospital Heidelberg, Heidelberg, Germany.

Case Reports in Dermatology

|February 22, 2021

Summary

This summary is machine-generated.

A man developed keratoacanthomas after a large tattoo. Human papillomavirus 6 was detected in the lesions, suggesting a potential link between tattoo pigments and viral-induced skin tumors.

Keywords:

Human papillomavirus 6 Keratoacanthoma Red dye Tattoo

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Area of Science:

Dermatology
Oncology
Virology

Background:

Tattooing is a common practice involving intradermal injection of pigments.
Keratoacanthomas are rapidly growing skin tumors, often associated with sun exposure or certain genetic conditions.
The potential role of tattoo pigments and associated infections in tumor development remains an area of investigation.

Observation:

A 39-year-old male presented with seven rapidly growing skin lesions on his thigh three weeks post-tattooing.
The tattoo incorporated red and black pigments.
Histopathology confirmed the lesions as keratoacanthomas, characterized by well-circumscribed tumors with central keratin-filled craters.

Findings:

Polymerase chain reaction (PCR) analysis of a lesion detected human papillomavirus 6 (HPV6).
The patient had a history of multiple tattoos without prior similar lesions.
Surgical excision with safety margins resulted in no recurrence at three months.

Implications:

This case suggests a possible association between tattoo pigments, HPV6 infection, and the development of keratoacanthomas.
Further research is warranted to explore the oncogenic potential of tattoo pigments and viral co-factors in skin lesion development.
This finding highlights the importance of considering iatrogenic or environmental factors in the etiology of cutaneous tumors.