A 36-year-old male presented with a 6-month history of skin-colored flat-topped papules in a 20-year-old black tattoo. Tattoo history Present over the arms and forearms Applied over 20 years prior by a professional tattoo artist No previous history of cutaneous eruptions within the tattoos Presence of skin-colored papules was sudden and symptomless The number of papules within the tattoo were increasing from the initial time of onset. (Fig. 1) Figure 1.
(a) Clinical image of the right ventral forearm displaying white to skin-colored flat-topped papules restricted to areas of tattoo pigment; (b) Close-up image of flat-topped papules with an area of scales developed after liquid nitrogen cryotherapy. Medical history The patient did not have any other medical condition and was not consuming any prescription medicines. Dermatologic history: Atopic dermatitis for which topical…
