PMC6514520_01
A grazing light incidence clearly reveals the granulomatous aspect of the tattoos of the patient.
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PMC6514520_01_cde-0011-0101-g01.jpg
F1
Clinically, the tattoos presented a 3-dimensional appearance (Fig. 1) and were slightly itchy.
a Dense granulomatous infiltrate of the superficial and mid dermis. Note numerous tattoo pigments (H/E, x20). b Well-delimited nonnecrotizing granulomas with tattoo pigments (H/E, x100). c. Tattoo pigments localized in both intra- and extracellular localizations of the nonnecrotizing granulomas. Some foreign-body giant multinucleated cells are observed (H/E, x100).
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PMC6514520_01_cde-0011-0101-g02.jpg
F2
The histopathological analysis of a cutaneous punch biopsy revealed the presence of a histiocytic infiltrate grouped into small, nonnecrotizing, narrowly confluent granulomas associated with the presence of abundant black pigmentary deposits, both intra- and extracellularly, with an exogenous appearance (Fig. 2a, b, c).