Tattoo: inoculating lupus vulgaris

Tulika Rai, Rakesh Kumar Meena


Tattooing remains a common custom in various countries and cultures. Tattooing has been practiced in India since ancient era. It has tremendous religious and spiritual significance. In addition, tattooing for cosmetic purposes has become quite popular in recent times. With this increasing trend, there is also an increased risk of adverse effects. A tattoo is the deposition of exogenous pigment in to the dermis. Decorative tattoos are more common. Cutaneous reactions to tattoos are uncommonly reported in literature. We report an uncommon occurrence of tattoo inoculated cutaneous tuberculosis presenting as lupus vulgaris in young adult who responded to standard antitubercular therapy.


Tattoo, Lupus vulgaris, Atypical mycobacteria, Cutaneous reactions

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Laumann AE. History and epidemiology of tattoos and piercings. Legislation in the United States. In: Dermatologic Complications with Body Art. 2009: 1–11.

Goldstein N. Tattoos defined. Clin Dermatol. 2007;25(4):417–20.

Sanghavi SA, Dongre AM, Khopkar US. Tattoo reactions-An epidemic on the surge: A report of 3 cases. Indian J Dermatol Venereol Leprol. 2013;79:231-4.

Hutton Carlsen K, Serup J. Patients with tattoo reactions have reduced quality of life and suffer from itch. Skin Res Technol. 2015;21(1):101–7.

Aberer W, Snauwaert JE, Render UM. Allergic reaction to pigments and metals. In: Christa De Cuyper, editor. Dermatologic complications with body art: Tattoos, piercings and permanent makeup, 1st ed. Belgium: Springer link; 2010: 66-73.

Dhawan AK, Pandhi D, Wadhwa N, Singal A. Tattoo inoculation lupus vulgaris in two brothers. Indian J Dermatol Venereol Leprol. 2015;81:516-8.

Ghorpade A. Tattoo inoculation lupus vulgaris in two Indian ladies. J Eur Acad Dermatol Venereol. 2006;20:476‑7.

Tattoo‑associated nontuberculous mycobacterial skin infections‑multiple states, 2011‑2012. Centers for Disease Control and Prevention (CDC). MMWR Morb Mortal Wkly Rep 2012;61:653‑6.

Giulieri S, Cavassini M, Jaton K. Mycobacterium chelonae illnesses associated with tattoo ink. N Engl J Med. 2012;367:2357.

Philips RC, Hunter‑Ellul LA, Martin JE, Wilkerson MG. Mycobacterium fortuitum infection arising in a new tattoo. Dermatol Online J. 2014;15:20.