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Kerure AS, Marwah M, Wagh ND, Udare S. Micropigmentation. Indian Dermatol Online J 2023; 14:605-610. [PMID: 37727553 PMCID: PMC10506827 DOI: 10.4103/idoj.idoj_767_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 03/19/2023] [Accepted: 03/21/2023] [Indexed: 09/21/2023] Open
Abstract
Micropigmentation and microblading is a popular technique now a days which is used as a semi permanent method for camoflaging various dermatological indications. This article will elaborate upon various indications of micropigmenation. Micropigmentation is used in variety of dermatological conditions like semi permanent make up and vitiligo (stable forms). In this technique, a thorough knowledge of the indication and colour theory is crucial to achieve near to natural output. Micropigmentation or medical tattooing is a novel and easy to learn technique to camouflage various dermatological conditions like stable vitiligo, alopecia (androgenetic alopecia or stable alopecia areata) as well as for semi permanent make up.
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Affiliation(s)
- Amit S. Kerure
- Department of Dermatology, Dr. Amit Kerure Skin Clinic, Navi Mumbai, Maharashtra, India
| | - Manjot Marwah
- Department of Dermatology, National Hair Clinic, Hamirpur, Himachal Pradesh, India
| | - Nitika Deshmukh Wagh
- Department of Dermatology, Honorary Consultant, Deenanath Mangeskar Hospital and Private Practioner, Pune, India
| | - Satish Udare
- Department of Dermatology, Sparkle Skin Clinic, Navi Mumbai, India
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Macedo TF, Perazzoli S, Bonamigo RR, Heck R. Sarcoid reaction in eyebrow tattooing: a complication of a common cosmetic procedure. An Bras Dermatol 2023; 98:708-710. [PMID: 37120407 PMCID: PMC10404500 DOI: 10.1016/j.abd.2021.08.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Revised: 08/07/2021] [Accepted: 08/09/2021] [Indexed: 05/01/2023] Open
Affiliation(s)
- Tamires Ferri Macedo
- Service of Dermatology, Sanitary Dermatology Outpatient Clinic, Secretaria de Saúde do Estado do Rio Grande do Sul, Porto Alegre, RS, Brazil.
| | - Simone Perazzoli
- Service of Dermatology, Sanitary Dermatology Outpatient Clinic, Secretaria de Saúde do Estado do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Renan Rangel Bonamigo
- Service of Dermatology, Sanitary Dermatology Outpatient Clinic, Secretaria de Saúde do Estado do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Renata Heck
- Service of Dermatology, Sanitary Dermatology Outpatient Clinic, Secretaria de Saúde do Estado do Rio Grande do Sul, Porto Alegre, RS, Brazil
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Ibraheim MK, Desai M, Tawfik M, Elsensohn A, Furukawa B. Microblading-Induced Granulomatous Reaction: Case Report and Review of the Literature. Am J Dermatopathol 2023; 45:487-491. [PMID: 37130196 DOI: 10.1097/dad.0000000000002449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
ABSTRACT Microblading is a common cosmetic procedure that can modify the appearance of one's eyebrows. Although generally well-tolerated, the procedure can cause a number of dermatologic issues; on rare occasions, granulomatous reactions can manifest. We use this case to highlight a presentation of a nonsarcoidal granulomatous dermatitis and review the literature on granulomatous reactions secondary to microblading. Of the 21 cases included in our review, approximately half (10/21) were diagnosed with foreign-body granulomas and the other half with sarcoidosis (7 of 21 with systemic sarcoidosis and 4 of 21 with cutaneous sarcoidosis). Although microblading remains a commonplace cosmetic technique, it is not without risk. Much like other types of tattoos, microblading can cause granulomatous reactions for which we must be vigilant, and further workup for sarcoidosis might be considered in select patients.
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Affiliation(s)
| | - Mansee Desai
- Department of Dermatology, Loma Linda University, Loma Linda, CA
| | - Melanie Tawfik
- Department of Dermatology, Loma Linda University, Loma Linda, CA
| | - Ashley Elsensohn
- Department of Dermatology, Loma Linda University, Loma Linda, CA
- Department of Pathology, Loma Linda University, Loma Linda, CA; and
| | - Betsy Furukawa
- Department of Dermatology, Baylor Scott and White Medical Center, Temple, TX
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Sode T, Ogwumike E, Hosler GA, Khalid I. Sarcoidosis Coexisting With Distinct Forms of Alopecia on the Scalp: A Case Series. Am J Dermatopathol 2023; 45:478-481. [PMID: 37249361 DOI: 10.1097/dad.0000000000002454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
ABSTRACT Sarcoidosis is an idiopathic multisystem inflammatory disease that can affect virtually any part of the body. Often, it can initially present solely in the skin. Histologically, it is characterized by noncaseating, 'naked' granulomas in the dermis and subcutaneous tissue. Clinically, sarcoidosis is often referred to as a 'mimicker' of many other pathologic processes because of its wide array of presentations. Occasionally, sarcoidosis can present in the scalp as both a scarring and nonscarring alopecia. There are countless reports of sarcoidosis mimicking various other alopecias including acne keloidalis nuchae, discoid lupus erythematosus, frontal fibrosing alopecia, lichen planopilaris, and alopecia areata totalis. In this case series, we present 2 novel cases of sarcoidosis not just clinically mimicking other forms of alopecia but occurring in conjunction with a separate and histologically distinct primary alopecia.
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Affiliation(s)
| | - Erica Ogwumike
- Department of Dermatology, University of Texas Southwestern, Dallas, TX
| | - Gregory A Hosler
- ProPath Dermatopathology, Dallas, TX; and
- Department of Dermatology, University of Texas Southwestern, Dallas, TX
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Spurr A, Hanna N, Colantonio S. Cutaneous sarcoidosis in eyebrows cosmetically pigmented with microblading method: A case report and review of the literature. SAGE Open Med Case Rep 2022; 10:2050313X221117720. [PMID: 35991955 PMCID: PMC9382064 DOI: 10.1177/2050313x221117720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Microblading is a novel method of semi-permanent makeup, which has achieved
popularity in the last few years. We present the case of a patient who developed
cutaneous sarcoidosis after microblading of her eyebrows. A 45-year-old female
presented with a 6-month history of pruritic erythematous granulomatous plaques
on bilateral eyebrows corresponding to the site of microblading 1.5 years prior.
A tissue biopsy was preformed which was consistent with cutaneous sarcoidosis.
An extensive work-up including assessment by respirology, rheumatology, and
ophthalmology did not reveal any evidence of systemic sarcoidosis. The patient
was treated with intralesional triamcinolone injections and tacrolimus ointment
twice daily, with complete resolution. To our knowledge, this is the first case
of cutaneous sarcoidosis associated with microblading in the literature.
Dermatologists should be aware of popular and novel cosmetic procedures and the
potential complications that arise from these interventions.
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Affiliation(s)
- Alison Spurr
- Division of Dermatology, Department of Medicine, The Ottawa Hospital, Ottawa, ON, Canada
| | - Nardin Hanna
- Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Sophia Colantonio
- Division of Dermatology, Department of Medicine, The Ottawa Hospital, Ottawa, ON, Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
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Nagendran ST, Ali MJ, Dogru M, Malhotra R. Complications and Adverse Effects of Periocular Aesthetic Treatments. Surv Ophthalmol 2021; 67:741-757. [PMID: 33933438 DOI: 10.1016/j.survophthal.2021.04.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 04/17/2021] [Accepted: 04/19/2021] [Indexed: 10/21/2022]
Abstract
The popularity and variety of temporary and permanent periocular aesthetic treatments has increased over the past decade. Patients frequently present to eye clinics with ocular complications and side effects following these treatments, their severity ranging from ocular irritation from dry eyes to visual loss from vascular occlusion. A careful, thorough history is essential, as many patients may not associate aesthetic procedures with ocular complications, and some may be embarrassed to disclose this information. All ophthalmologists should understand the potential ocular sequelae of these treatments and be able to initiate treatment in sight-threatening cases. Wesummarises the current literature on ophthalmic complications of the most common periocular aesthetic treatments.
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Affiliation(s)
- Sonali T Nagendran
- Corneoplastic Unit, Queen Victoria Hospital NHS Trust, East Grinstead, United Kingdom
| | - Mohammad Javed Ali
- Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, India
| | - Murat Dogru
- Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan
| | - Raman Malhotra
- Corneoplastic Unit, Queen Victoria Hospital NHS Trust, East Grinstead, United Kingdom.
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Mukai T, Fujiwara D, Miyake T, Fujita S, Morizane S, Morita Y. Tattoo skin reaction as a skin manifestation of systemic sarcoidosis. Mod Rheumatol Case Rep 2020; 5:167-171. [PMID: 32967569 DOI: 10.1080/24725625.2020.1816645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
A 41-year-old man presented with itching of the skin surrounding his tattoos, blurred vision, fever, general fatigue, and arthralgia. Physical examination revealed skin bulges confined to the tattoo ink lines. Histological analyses of the skin revealed non-caseating granulomas surrounding the tattoo inks. Together with other clinical manifestations including uveitis, lymph nodes swelling, and elevated serum angiotensin-converting enzyme and lysozyme, he was diagnosed with systemic sarcoidosis. The administration of prednisolone alleviated the sarcoidosis-related symptoms, including skin changes. This case illustrates that skin changes on tattoos can be a presenting manifestation of systemic sarcoidosis and that skin biopsy is useful in early diagnosis.
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Affiliation(s)
- Tomoyuki Mukai
- Department of Rheumatology, Kawasaki Medical School, Okayama, Japan.,Department of Internal Medicine, Fukuyama City Hospital, Hiroshima, Japan
| | - Dan Fujiwara
- Department of Dermatology, Fukuyama City Hospital, Hiroshima, Japan
| | - Tomoko Miyake
- Department of Ophthalmology, Fukuyama City Hospital, Hiroshima, Japan
| | - Shunichi Fujita
- Department of Rheumatology, Kawasaki Medical School, Okayama, Japan
| | - Shin Morizane
- Department of Dermatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Yoshitaka Morita
- Department of Rheumatology, Kawasaki Medical School, Okayama, Japan
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Lehman JS, Sokumbi O, Peters MS, Bridges AG, Comfere NI, Gibson LE, Wieland CN. Histopathologic features of noninfectious granulomatous disorders involving the skin. Hum Pathol 2020; 103:127-145. [PMID: 32544405 DOI: 10.1016/j.humpath.2020.05.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Accepted: 05/31/2020] [Indexed: 11/17/2022]
Abstract
Granulomatous dermatoses may represent primary skin inflammation or can serve as the harbinger of a multitude of underlying systemic disorders or drug reactions. Taken together with clinical findings, the microscopic features from skin biopsy can allow recognition of various patterns and facilitate a precise diagnosis. Accurate classification of entities in this category of inflammatory dermatoses may prompt clinicians to investigate for underlying systemic problems, thereby allowing the pathologist to add considerable value in the care of affected patients. This review article categorizes clinical and microscopic features of common and uncommon causes of noninfectious dermal and subcutaneous granulomatous inflammation.
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Affiliation(s)
- Julia S Lehman
- Departments of Dermatology and Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905, USA.
| | - Olayemi Sokumbi
- Departments of Dermatology and Laboratory Medicine and Pathology, Mayo Clinic, Jacksonville, FL, 32224, USA
| | - Margot S Peters
- Departments of Dermatology and Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905, USA
| | - Alina G Bridges
- Departments of Dermatology and Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905, USA
| | - Nneka I Comfere
- Departments of Dermatology and Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905, USA
| | - Lawrence E Gibson
- Departments of Dermatology and Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905, USA
| | - Carilyn N Wieland
- Departments of Dermatology and Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905, USA
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Hutton Carlsen K, Larsen G, Serup J. Tattoo pigment agglomerates measured in skin biopsies by computerised light microscopy: Study of 161 patients with adverse reactions in black and red tattoos. Skin Res Technol 2019; 26:284-291. [PMID: 31799768 DOI: 10.1111/srt.12798] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2019] [Accepted: 08/22/2019] [Indexed: 11/26/2022]
Abstract
BACKGROUND Black tattoo reactions are suggested to be foreign body reactions manifested as papulo-nodular inflammation that is associated with active sarcoidosis. AIM To study the morphology of black and red pigment agglomerates in skin biopsies from tattoo reactions, referenced to clinical diagnoses. METHOD Agglomerate count, area, width, height, circumference and circularity were measured in 161 patients by light microscopy (Olympus BX51™); 161 unstained skin biopsies from 64 black tattoo reactions and 97 reactions in red tattoos with allergy. Images (Jenoptic Gryphax RGB camera) were taken through a 40× objective using immersion oil. Computerised analysis of agglomerates was performed using ImageJ software. Student t test, chi-square test, Fisher Exact test, ANOVA and Bonferroni tests were applied. RESULTS Comparison of black and red pigment agglomerates showed no overall differences in count, area, width, height or circumference. However, in black tattoo reactions, the count of agglomerates was higher in patients with sarcoidosis (P = .009) vs no sarcoidosis. Black agglomerates were more circular shaped as compared to red, P = .023. In red tattoo reactions, agglomerates in patients with allergic cross-reactivity were slightly more circular (P = .036) vs patients with milder allergy. The count of red agglomerates was lower in patients clinically typed excessive hyperkeratosis (P = .041) compared with other clinical types of allergy. CONCLUSION Patients with reactions in black tattoos associated with sarcoidosis have increased count of pigment agglomerates vs those without associated sarcoidosis indicating that black pigment agglomeration is one among a number of factors triggering sarcoid tattoo complication. Circular shape of agglomerates may code for bioactivity.
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Affiliation(s)
- Katrina Hutton Carlsen
- Department of Dermatology, The "Tattoo Clinic", Bispebjerg University Hospital, Copenhagen, Denmark
| | | | - Jørgen Serup
- Department of Dermatology, The "Tattoo Clinic", Bispebjerg University Hospital, Copenhagen, Denmark
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