Granulomatous tattoo reaction

QUESTION 100

A 36-year-old woman presents to the dermatology clinic for the evaluation of a raised pink plaque within a tattoo. She got the tattoo inked approximately 6 months ago without any adverse effect until 3 weeks before her visit to the clinic. She initially noticed an elevated area within the tattoo that subsequently enlarged and became scaly and pruritic. She has other tattoos on other areas of her body that are not affected. On physical examination, there are erythematous scaly plaques within the ink margins of specific areas of her tattoo with overlying crust and some areas of erosion (100).

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