Foreign Body Reaction? Possibly to Silica. Presented by Capt. James H. Lockwood (MC), U. S. N.
A white man, aged 28, presented in tattoos of the right forearm and right deltoid area brownish papular lesions confined to areas of brown shading. These lesions were moderately firm and nontender and exhibited no surrounding inflammation. Other tattoos showed no abnormalities. About 10 years ago, while in Norfolk, Va., the patient received a tattoo of the right deltoid area. About seven months later his right forearm was tattooed in the same establishment. Since then he has had many other tattoos with no untoward response until about two weeks ago. Two weeks ago he noted development of papules in the brown areas of the tattoos on the deltoid area and on the forearm. The lesions were only mildly pruritic. A punch biopsy was performed on May 8, 1958. The biopsy site became infected,
James M. Flood, Herbert A. Luscombe. PHILADELPHIA DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1959;80(1):122–124. doi:10.1001/archderm.1959.01560190124027