000097251 001__ 97251 000097251 005__ 20220511133130.0 000097251 0247_ $$2doi$$a10.1016/j.adengl.2020.10.021 000097251 0248_ $$2sideral$$a120976 000097251 037__ $$aART-2020-120976 000097251 041__ $$aeng 000097251 100__ $$aConejero, R. 000097251 245__ $$aPseudoepitheliomatous Hyperplasia: An Uncommon Reaction in Tattoos 000097251 260__ $$c2020 000097251 5060_ $$aAccess copy available to the general public$$fUnrestricted 000097251 5203_ $$aTo the Editor: The growth in popularity of tattooing in recent decades has coincided with an increase in the number of articles describing adverse effects associated with tattooing. Complications associated with tattoos include cutaneous and systemic infectious processes, inflammatory reactions with varied histological patterns, the appearance of benign or malignant skin tumors in tattooed areas of skin, and various dermatoses in tattooed areas resulting from isomorphic phenomena.1 A 39-year-old man consulted for an itchy rash in the red-ink areas of a tattoo completed 1 month earlier. Physical examination revealed well-defined, firm, raised, erythematous hyperkeratotic lesions coinciding with the areas of red ink (Fig. 1). Dermoscopy showed rounded or oval-shaped areas of variable size with an erythematous center and a pinkish periphery, separated from one other by yellowish hyperkeratotic scales (Fig. 2). Histology showed marked acanthosis and epidermal papillomatosis without atypical cells, hyperkeratosis and areas of parakeratosis, and intracellular and extracellular deposits of red pigment in the dermis accompanied by a predominantly lymphohistiocytic infiltrate (Fig. 3). Culture of a biopsy sample for fungi, bacteria, and mycobacteria was negative. The results of patch and prick tests were negative... 000097251 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/ 000097251 592__ $$a0.272$$b2020 000097251 593__ $$aDermatology$$c2020$$dQ3 000097251 593__ $$aPathology and Forensic Medicine$$c2020$$dQ3 000097251 593__ $$aHistology$$c2020$$dQ3 000097251 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000097251 700__ $$aConejero, C. 000097251 700__ $$aAlcalde, V. 000097251 700__ $$aGarcía-Latasa de Araníbar, J.$$uUniversidad de Zaragoza 000097251 7102_ $$11007$$2183$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cÁrea Dermatología 000097251 773__ $$g111, 10 (2020), 896-897$$pActas dermo-sifiliogr.$$tActas Dermo-Sifiliograficas$$x0001-7310 000097251 8564_ $$s245440$$uhttps://zaguan.unizar.es/record/97251/files/texto_completo.pdf$$yVersión publicada 000097251 8564_ $$s50468$$uhttps://zaguan.unizar.es/record/97251/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000097251 909CO $$ooai:zaguan.unizar.es:97251$$particulos$$pdriver 000097251 951__ $$a2022-05-11-13:14:02 000097251 980__ $$aARTICLE