Sarcoidal granulomatous reaction due to tattoos: report of two cases

Valbuena, Martha Cecilia; Franco, Victoria Eugenia; Tenorio, Lorena Sánchez; Jiménez, Héctor

doi:10.1590/abd1806-4841.20175860

Cited by 15 publications

(14 citation statements)

References 9 publications

(23 reference statements)

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“…To date, 20 cases exist in the literature (Table 1). [9][10][11][12][13][14][15][16][17][18][19][20][21][22] In all cases, patients were women between the ages of 25 and 70 years. It is unclear why all reported cases have occurred exclusively in women, although the popularity of the procedure among women may contribute to this finding.…”

Section: Discussionmentioning

confidence: 99%

Microblading-Induced Granulomatous Reaction: Case Report and Review of the Literature

Ibraheim

Desai

Tawfik

et al. 2023

The American Journal of Dermatopathology

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Microblading is a common cosmetic procedure that can modify the appearance of one's eyebrows. Although generally well-tolerated, the procedure can cause a number of dermatologic issues; on rare occasions, granulomatous reactions can manifest. We use this case to highlight a presentation of a nonsarcoidal granulomatous dermatitis and review the literature on granulomatous reactions secondary to microblading. Of the 21 cases included in our review, approximately half (10/21) were diagnosed with foreign-body granulomas and the other half with sarcoidosis (7 of 21 with systemic sarcoidosis and 4 of 21 with cutaneous sarcoidosis). Although microblading remains a commonplace cosmetic technique, it is not without risk. Much like other types of tattoos, microblading can cause granulomatous reactions for which we must be vigilant, and further workup for sarcoidosis might be considered in select patients.

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Section: Discussionmentioning

confidence: 99%

Microblading-Induced Granulomatous Reaction: Case Report and Review of the Literature

Ibraheim

Desai

Tawfik

et al. 2023

The American Journal of Dermatopathology

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“…11 In addition, it was considered that there are a few cases in the literature of tattoos that have occasionally produced a granulomatous sarcoid-like pathology; however, biopsy of the forearm was not taken on the tattoo site and scalp biopsy results showed evidence of coexisting pathologies. 12 Typically, in these instances, the correct diagnosis is discovered on H&E, where an abundance of noncaseating granulomas with sparse surrounding infiltrate can be visualized filling the dermis and sometimes obliterating follicular structures. [4][5][6][7][8][9][10] The 2 cases discussed in our series are the first in the literature to show sarcoidosis present concurrently with a distinct, primary histological pattern as alopecia.…”

Section: Discussionmentioning

confidence: 99%

Sarcoidosis Coexisting With Distinct Forms of Alopecia on the Scalp: A Case Series

Sode

Ogwumike

Hosler

et al. 2023

The American Journal of Dermatopathology

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Sarcoidosis is an idiopathic multisystem inflammatory disease that can affect virtually any part of the body. Often, it can initially present solely in the skin. Histologically, it is characterized by noncaseating, 'naked' granulomas in the dermis and subcutaneous tissue. Clinically, sarcoidosis is often referred to as a 'mimicker' of many other pathologic processes because of its wide array of presentations. Occasionally, sarcoidosis can present in the scalp as both a scarring and nonscarring alopecia. There are countless reports of sarcoidosis mimicking various other alopecias including acne keloidalis nuchae, discoid lupus erythematosus, frontal fibrosing alopecia, lichen planopilaris, and alopecia areata totalis. In this case series, we present 2 novel cases of sarcoidosis not just clinically mimicking other forms of alopecia but occurring in conjunction with a separate and histologically distinct primary alopecia.

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“…Cutaneous sarcoidosis following tattooing has been described numerous times in the literature. 4 We performed a literature review of cases of cutaneous eyebrow sarcoidosis in the context of permanent or semi-permanent cosmetic tattooing. The results of this review are summarized in Table 1 .…”

Section: Discussionmentioning

confidence: 99%

Cutaneous sarcoidosis in eyebrows cosmetically pigmented with microblading method: A case report and review of the literature

Spurr

Hanna

Colantonio

2022

SAGE Open Medical Case Reports

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Microblading is a novel method of semi-permanent makeup, which has achieved popularity in the last few years. We present the case of a patient who developed cutaneous sarcoidosis after microblading of her eyebrows. A 45-year-old female presented with a 6-month history of pruritic erythematous granulomatous plaques on bilateral eyebrows corresponding to the site of microblading 1.5 years prior. A tissue biopsy was preformed which was consistent with cutaneous sarcoidosis. An extensive work-up including assessment by respirology, rheumatology, and ophthalmology did not reveal any evidence of systemic sarcoidosis. The patient was treated with intralesional triamcinolone injections and tacrolimus ointment twice daily, with complete resolution. To our knowledge, this is the first case of cutaneous sarcoidosis associated with microblading in the literature. Dermatologists should be aware of popular and novel cosmetic procedures and the potential complications that arise from these interventions.

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Sarcoidal granulomatous reaction due to tattoos: report of two cases

Cited by 15 publications

References 9 publications

Microblading-Induced Granulomatous Reaction: Case Report and Review of the Literature

Microblading-Induced Granulomatous Reaction: Case Report and Review of the Literature

Sarcoidosis Coexisting With Distinct Forms of Alopecia on the Scalp: A Case Series

Cutaneous sarcoidosis in eyebrows cosmetically pigmented with microblading method: A case report and review of the literature

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