Successful treatment of tattoo-induced pseudolymphoma with sequential ablative fractional resurfacing followed by Q-switched Nd: Yag 532 nm laser

Abstract

Decorative tattooing has been linked with a range of complications, with pseudolymphoma being unusual and challenging to manage. We report a case of tattoo-induced pseudolymphoma, who failed treatment with potent topical and intralesional steroids. She responded well to sequential treatment with ablative fractional resurfacing (AFR) followed by Q-Switched (QS) Nd:YAG 532 nm laser. Interestingly, we managed to document the clearance of her tattoo pigments after laser treatments on histology and would like to highlight the use of special stains such as the Grocott's Methenamine Silver (GMS) stain as a useful method to assess the presence of tattoo pigment in cases where dense inflammatory infiltrates are present.

Pseudolymphomatous Reaction to Red Tattoo Pigment

“…Although spontaneous remission of pseudolymphomatous reactions have been reported [ 4 ], pseudolymphomas are often difficult to treat, and the therapeutic approach is controversial (Table 1 ). Treatment modalities include topical and intralesional application of glucocorticosteroids as well as surgical excision and laser therapy [ 7 , 9 , 10 , 11 , 12 , 13 ]. Additionally, systemic therapy with hydroxychloroquine was effective in a case of tattoo-associated pseudolymphomatous reaction in the green part of the tattoo [ 8 ].…”

“…According to cases reported by other authors, surgical excision of the pseudolymphomatous reaction is the most effective treatment [ 7 , 10 , 11 , 14 , 15 , 16 , 17 ]. However, surgery may result in poor cosmetic outcome and is applicable for small areas only, and therefore its use is limited.…”

Erratum: Successful treatment of tattoo-induced pseudolymphoma with sequential ablative fractional resurfacing followed by Q-switched Nd: YAG 532 nm laser

“…In the article, “Successful Treatment of Tattoo-Induced Pseudolymphoma with Sequential Ablative Fractional Resurfacing Followed by Q-Switched Nd: YAG 532 nm Laser”, which appeared in the pages 226-228, Issue 4, Vol. 6 of Journal of Cutaneous and Aesthetic Surgery[ 1 ], the author names are incorrectly written as “Tan Siyun Lucinda, Oon Hwee Boon Hazel, Lee Siong See Joyce, Chua Sze Hon” instead of “Lucinda S. Tan, Hazel H. Oon, Joyce S.S. Lee, Sze Hon Chua”.…”