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Granulomatous dermatitis to iron oxide after permanent pigmentation of the eyebrows
1Department of Dermatology, University of Puerto Rico, School of Medicine, San Juan.
Background:
Tattooing with iron oxide pigment is used to create a permanent line along the eyelid margins and to cause permanent pigmentation of the eyebrows. However inflammatory sequelae can occur.
Objective:
To present the development and treatment of a granulomatous inflammation as a sequela of iron oxide tattooing in the eyebrows.
Method:
A skin biopsy was performed, Histopathologic examination revealed deposits of reddish-brown pigment and a superficial dermal infiltrate consisting of lymphocytes and giant multinucleated cells (Langhan's and foreign body).
Results:
A patient developed a granulomatous reaction to iron oxide after undergoing permanent pigmentation of the eyebrows. Treatment with systemic and topical steroids resulted in marked improvement at 6-month follow-up.
Conclusions:
This is an unusual complication. A skin test should be performed on any patient who is to undergo tattooing with iron oxide pigment.