Successful treatment of a lichenoid-like granulomatous reaction to Purple Tattoo pigment with intralesional Kenalog

Stephanie Feldstein, Jared Jagdeo

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Tattoo reactions can be clinically challenging to diagnose and treat. We present a case of a biopsy-proven granulomatous reaction to purple tattoo ink that clinically mimicked lichen planus. This reaction was successfully treated with one course of intralesional kenalog (ILK), with no recurrence six months after treatment. To our knowledge, this is the first report of a granulomatous tattoo reaction appearing clinically like lichen planus, and one of the few reports of a reaction to purple tattoo pigment. It highlights the importance of biopsying tattoo-related dermatoses prior to treatment in order to confirm the diagnosis. It also illustrates how a minimally invasive technique utilizing ILK to treat a granulomatous tattoo reaction can result in excellent dermatologic, cosmetic, and symptomatic outcomes. Based on this therapeutic success, we believe treatment with ILK injections should be attempted before more invasive modalities such as excision or laser therapy.

Original languageEnglish (US)
Pages (from-to)638-640
Number of pages3
JournalJournal of Drugs in Dermatology
Volume14
Issue number6
StatePublished - Jun 1 2015

ASJC Scopus subject areas

  • Dermatology

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