Goldenberg Gary, Patel Shiv, Patel Manisha J, Williford Phillip, Sangueza Omar
Department of Dermatology, University of Maryland, Baltimore, MD, USA.
J Cutan Pathol. 2008 Jan;35(1):62-4. doi: 10.1111/j.1600-0560.2007.00764.x.
Permanent tattoos are formed through the injection of ink solids through the epidermis into the dermis and can cause multiple adverse reactions. We report a 38-year-old man who presented to our Dermatologic Surgery Unit with a diagnosis of a superficially invasive squamous cell carcinoma (SCC), keratoacanthoma (KA) type, of the left forearm in a 1-month-old tattoo. Since his initial biopsy, he developed four more similar lesions on his left forearm within his tattoo. On physical examination, the patient had a large, multicolor tattoo on his left forearm, a well-healed surgical biopsy site and four erythematous hyperkeratotic papules within differently pigmented areas of the patient's tattoo. Histopathological examination showed KA and tattoo pigment. Based on the eruptive nature of these lesions, their clinical presentation and the histopathological changes, we report this as the first case of eruptive KA arising in a multicolor tattoo.
永久性纹身是通过将墨水固体经表皮注入真皮而形成的，可引发多种不良反应。我们报告一名38岁男性，他因1个月大的纹身部位左前臂出现浅表浸润性鳞状细胞癌（SCC）、角化棘皮瘤（KA）型，就诊于我们的皮肤科手术科室。自初次活检以来，他在纹身部位的左前臂又出现了另外4个类似病变。体格检查时，患者左前臂有一个大的、多色纹身，手术活检部位愈合良好，且在纹身不同色素沉着区域内有4个红斑性角化过度丘疹。组织病理学检查显示为KA和纹身色素。基于这些病变的爆发性、临床表现及组织病理学变化，我们将此报告为多色纹身中出现爆发性KA的首例病例。
