Tattoo reaction as clue to the diagnosis of Neurosarcoidosis: Case Report
Australia: A recent case study describes the case of a 24-year-old man whose tattoo reaction provided a diagnostic clue in neurosarcoidosis. The case has been published in the journal JAMA Neurology.
Amy J. Halliday and Dean L. Jones from the Department of Neurology, Royal Hobart Hospital, Hobart, Australia, presented a case of neurosarcoidosis with a skin tattoo reaction as the clue to the diagnosis.
According to the case, the man was presented to the emergency department with confusion, vomiting, and headache. Extensive laboratory workups including HIV, syphilis, hepatitis B and C virus, tuberculosis assay, and autoimmune testing were performed on the patient but all turned out to be negative.
The patient was also noted to have multiple small papules and nodules within a tattoo over his left calf present for 2 to 3 years, leading to suspicion for sarcoidosis. Subsequent imaging displayed bilateral hilar lymphadenopathy and multiple pulmonary nodules.
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