Therapeutic Dilemma of Sarcoidosis and Treatment-naïve Hepatitis C Manifesting as Tattoo Reactions

A 23-year-old man had an 8-day history of fatigue and dry cough and papulo-nodular reactions on his extensive tattoos. Chest radiography revealed several small granular shadows, and a transbronchial lung biopsy showed non-caseating epithelioid cell granuloma. A skin biopsy of the tattooed area showe...

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Autores principales: Ishimaru, Naoto, Ohnishi, Jun, Seto, Hiroyuki, Kanzawa, Yohei, Sano, Nobuya, Kinami, Saori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7946501/
https://www.ncbi.nlm.nih.gov/pubmed/32999233
http://dx.doi.org/10.2169/internalmedicine.5606-20
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author Ishimaru, Naoto
Ohnishi, Jun
Seto, Hiroyuki
Kanzawa, Yohei
Sano, Nobuya
Kinami, Saori
author_facet Ishimaru, Naoto
Ohnishi, Jun
Seto, Hiroyuki
Kanzawa, Yohei
Sano, Nobuya
Kinami, Saori
author_sort Ishimaru, Naoto
collection PubMed
description A 23-year-old man had an 8-day history of fatigue and dry cough and papulo-nodular reactions on his extensive tattoos. Chest radiography revealed several small granular shadows, and a transbronchial lung biopsy showed non-caseating epithelioid cell granuloma. A skin biopsy of the tattooed area showed histiocytic infiltrates with phagocytized tattoo pigment. Antibody tests for hepatitis C virus were positive. The patient was successfully treated with corticosteroid therapy, and after inflammation was suppressed, he received delayed anti-viral therapy. Sarcoidosis should be considered as a concurrent condition if papules are presented on the tattoos of patients with hepatitis C.
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spelling pubmed-79465012021-03-15 Therapeutic Dilemma of Sarcoidosis and Treatment-naïve Hepatitis C Manifesting as Tattoo Reactions Ishimaru, Naoto Ohnishi, Jun Seto, Hiroyuki Kanzawa, Yohei Sano, Nobuya Kinami, Saori Intern Med Case Report A 23-year-old man had an 8-day history of fatigue and dry cough and papulo-nodular reactions on his extensive tattoos. Chest radiography revealed several small granular shadows, and a transbronchial lung biopsy showed non-caseating epithelioid cell granuloma. A skin biopsy of the tattooed area showed histiocytic infiltrates with phagocytized tattoo pigment. Antibody tests for hepatitis C virus were positive. The patient was successfully treated with corticosteroid therapy, and after inflammation was suppressed, he received delayed anti-viral therapy. Sarcoidosis should be considered as a concurrent condition if papules are presented on the tattoos of patients with hepatitis C. The Japanese Society of Internal Medicine 2020-09-30 2021-02-15 /pmc/articles/PMC7946501/ /pubmed/32999233 http://dx.doi.org/10.2169/internalmedicine.5606-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ishimaru, Naoto
Ohnishi, Jun
Seto, Hiroyuki
Kanzawa, Yohei
Sano, Nobuya
Kinami, Saori
Therapeutic Dilemma of Sarcoidosis and Treatment-naïve Hepatitis C Manifesting as Tattoo Reactions
title Therapeutic Dilemma of Sarcoidosis and Treatment-naïve Hepatitis C Manifesting as Tattoo Reactions
title_full Therapeutic Dilemma of Sarcoidosis and Treatment-naïve Hepatitis C Manifesting as Tattoo Reactions
title_fullStr Therapeutic Dilemma of Sarcoidosis and Treatment-naïve Hepatitis C Manifesting as Tattoo Reactions
title_full_unstemmed Therapeutic Dilemma of Sarcoidosis and Treatment-naïve Hepatitis C Manifesting as Tattoo Reactions
title_short Therapeutic Dilemma of Sarcoidosis and Treatment-naïve Hepatitis C Manifesting as Tattoo Reactions
title_sort therapeutic dilemma of sarcoidosis and treatment-naïve hepatitis c manifesting as tattoo reactions
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7946501/
https://www.ncbi.nlm.nih.gov/pubmed/32999233
http://dx.doi.org/10.2169/internalmedicine.5606-20
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