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[Lichenoid pseudolymphomatous tattooing reaction]

U Amann¹, T A Luger, D Metze

¹Universitäts-Hautklinik Münster.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete

|June 1, 1997

Summary

Tattoo reactions can cause inflammatory swellings, mimicking lymphoma. Advanced diagnostic methods confirmed a pseudolymphomatous pattern, suggesting a dermal-allergic cause. Surgical excision is the recommended treatment for these non-granulomatous reactions.

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Area of Science:

Dermatology
Pathology
Immunology

Background:

Tattooing is a common practice, with potential for cutaneous adverse reactions.
Inflammatory reactions in tattoos can present with diverse clinical and histological features.

Observation:

A 35-year-old patient presented with swellings specifically in the red pigmented areas of a tattoo.
Histopathological examination showed a lichenoid, pseudolymphomatous infiltrative pattern.

Findings:

Electron microscopy, immunohistochemistry, and molecular biology differentiated the condition from true lymphoma.
The presence of dermal dendritic cells suggests a dermal-allergic pathogenesis in non-granulomatous tattoo reactions.

Implications:

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This case highlights the importance of advanced diagnostics in differentiating pseudolymphomatous tattoo reactions from malignancy.

Surgical excision of inflamed areas is identified as the primary therapeutic approach.