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

Abstract

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.

Trends in eyebrow makeup after COVID‐19 and long‐COVID era

“… 21 , 22 Therefore, in the future, public interest in cosmetic procedures should be explained and grown in relation to medical considerations for procedures. 23 …”

Microblading reaction as a manifestation of systemic sarcoidosis: two case reports and a review of the literature

“…In a recent review article, 21 cases of sarcoidosis were noted after permanent tattooing but only 1 after microblading. In the case of sarcoidosis that developed after microblading, only the skin was affected [ 17 ]. Interestingly, both patients were found to have systemic sarcoidosis.…”

“…Therefore, microblading probably triggered the development of sarcoidosis in both patients. As the pigment deposit in microblading is shallower and presumably not dispersible compared to classic tattooing, resolution of granulomatous inflammation is probably more likely than in sarcoidosis after classical tattooing [ 17 , 24 ].…”

“…Here, we present two cases of a 33-year-old female patient who presented with orange–red maculopapular lesions in the eyebrow area after microblading. To date, only one case of cutaneous sarcoidosis after microblading has been reported [ 17 ]. However, no cases of systemic sarcoidosis after microblading, as in our two cases, have been reported.…”

Alopecia Areata: An Updated Review for 2023

“…Rare but concerning complications that have been reported include granulomatous reactions, sarcoid, allergic contact dermatitis, and preseptal cellulitis. [35][36][37][38]…”