Department of General Internal Medicine, Akashi Medical Center, Japan.
Department of Pathology, Akashi Medical Center, Japan.
Intern Med. 2021 Feb 15;60(4):645-650. doi: 10.2169/internalmedicine.5606-20. Epub 2020 Sep 30.
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.
一名 23 岁男性，出现 8 天疲劳、干咳，广泛纹身部位出现丘疹结节样反应。胸部 X 线显示多个小结节影，经支气管肺活检显示非干酪样上皮样细胞肉芽肿。纹身部位皮肤活检显示组织细胞浸润，吞噬纹身颜料。丙型肝炎病毒抗体检测阳性。患者经皮质激素治疗后成功缓解，炎症得到控制后，接受了延迟抗病毒治疗。如果丙型肝炎患者的纹身出现丘疹，应考虑并发结节病。
