case_images: PMC6652043_01
case_images: (a), (b), (c). Deep dermal and mainly subcutaneous sarcoidal granulomata characterized by multinodular infiltrate of mono- and multinucleated epithelioid histiocytes with some lymphocytes (hematoxylin-eosin stain, magnifications 10 X, 10X, 20X, respectively).
case_images: CRIDM2019-6702870.001.jpg
case_images: PMC6652043_01_CRIDM2019-6702870.001.jpg
case_images: fig1
case_images: A skin biopsy was performed that revealed sarcoidal-type granulomatous inflammation in the dermis and subcutaneous tissue (Figures 1(a), 1(b), and 1(c)).
case_images: PMC6652043_02
case_images: (a), (b). Papulonodular lesions within the black tattoos in patient 2.
case_images: CRIDM2019-6702870.002.jpg
case_images: PMC6652043_02_CRIDM2019-6702870.002.jpg
case_images: fig2
case_images: The red, yellow, and green tattoos were completely uninvolved (Figures 2(a) and 2(b)).
case_images: (a), (b). Sarcoidal-type granulomatous inflammation confined to the areas harboring black tattoo pigment (hematoxylin-eosin stain, magnifications 10 X, 20X, respectively).
case_images: CRIDM2019-6702870.003.jpg
case_images: PMC6652043_02_CRIDM2019-6702870.003.jpg
case_images: fig3
case_images: In his 4-week follow-up visit, due to the lack of significant clinical improvement, a punch biopsy from the left upper arm was performed that revealed sarcoidal-type granulomatous inflammation, associated with only the black tattoo areas (Figures 3(a) and 3(b)).