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Leters

Tattoos and sarcoidosis

Joel Post and Peter Hull
CMAJ March 20, 2012 184 (5) 563; DOI: https://doi.org/10.1503/cmaj.112-2030
Joel Post
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Peter Hull
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We are pleased that our article1 was read with keen interest. In response to Madan’s letter,2 our patient’s tattoos were amateur tattoos acquired over many years via a variety of methods, and presumably pigmentary substances were used, although all tattoos were black in colour. While sarcoidal reactions to a particular dye is well known, simultaneous reactions occurring in all the tattoos as well as in the eyes and lungs is more unusual. When a reaction occurs in a tattoo, pigment in the tissue is expected. Determining whether pigment is present in eyes or lungs is more difficult. If the sarcoidal reaction is immune-based, one would expect that a single pigment is responsible. Perhaps more likely is that, as is the case in sarcoidosis occurring in scars, tattoos act to localize the granulomatous reaction as a Koebner phenomenon.

References

  1. ↵
    1. Post J,
    2. Hull P
    . Tattoo reactions as a sign of sarcoidosis. CMAJ 2012;184:432.
    OpenUrlFREE Full Text
  2. ↵
    1. Madan K
    . Tattoos and sarcoidosis [letter]. CMAJ 2012;184:563.
    OpenUrlFREE Full Text
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Canadian Medical Association Journal: 184 (5)
CMAJ
Vol. 184, Issue 5
20 Mar 2012
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Tattoos and sarcoidosis
Joel Post, Peter Hull
CMAJ Mar 2012, 184 (5) 563; DOI: 10.1503/cmaj.112-2030

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Tattoos and sarcoidosis
Joel Post, Peter Hull
CMAJ Mar 2012, 184 (5) 563; DOI: 10.1503/cmaj.112-2030
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