Tattoo-associated Pseudolymphomatous Reaction and its Successful Treatment with Hydroxychloroquine

Camouflage for patients with vitiligo

“…[35,39] • Contact allergy to the pigments is very rare with the newer inert pigments that are used now. Reactions to tattoos can include allergic hypersensitivity and also granulomatous, [40] lichenoid [41] and pseudolymphomatous types [42] of histopathologic reactions. Photo-aggravated reactions are most commonly caused by yellow (cadmium sulfide) tattoo pigment.…”

Nodule Developing Over a Tattoo

“…1,3,4 CLH most often occurs in the red parts of a tattoo made using a dye composed of mercury sulfide 1,3,5-10 but has also been described in green 4,7 and blue 3,4,8 areas. It usually occurs several months or years after tattooing, but shorter-as is the case here-and longer times to onset have been reported.…”

Cutaneous pseudolymphoma occurring after traumatic implantation of a foreign red pigment

“…(1,6,7) In view of reports of cutaneous pseudolymphomas progressing to true lymphomas, (1,5) close follow-up is recommended.…”

“…(1,5) Although most cases are idiopathic, reported triggering factors include Borrelia burgdorferi infection, insect bites, drugs, acupuncture, trauma and vaccinations. (1,2) Common…”

“…(1,2) Mercury-based red pigments in cosmetic tattoos have been implicated as a cause. (3)(4)(5) We report an interesting case of the development of cutaneous pseudolymphoma after accidental, traumatic implantation of a foreign red pigment.…”