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March 2009

Pruritic Papules Limited to Tattooed Skin—Quiz Case

Author Affiliations
 

MICHAEL E.MINGMD, MSCE

 

CARRIE ANN R.CUSACKMDSENAIT W.DYSONMDJACQUELINE M.JUNKINS-HOPKINSMDVINCENTLIUMDKARLA S.ROSENMANMD

Arch Dermatol. 2009;145(3):321-326. doi:10.1001/archdermatol.2008.624-a

A 29-year-old heavily tattooed man presented with a 6-week history of progressive pruritic papules and plaques restricted to indiscriminate tattooed areas. The patient was extensively and professionally tattooed in 1 color (black iron oxide or carbon) but denied any new tattoos within the last 10 years. His medical history was significant for chronic hepatitis C, for which he completed a 6-month course of pegylated interferon and ribavirin within the previous month. The onset of skin lesions occurred just prior to the completion of combination therapy. Findings of a review of systems were unremarkable.

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