Case Number : Case 2518 - 02 March 2020 Posted By: Iskander H. Chaudhry

epidermal hyperplasia with parakeratosis and lichenoidi interface changes. there is perivascular superficial and mid dermal and also perieccrine lymphocytic infiltrate. lymphoid collection is also there in the junction between dermis and subcutaneous fat

DD: hypertrophic LE/ LP/reaction to pigments

Lichenoid reaction to red tattoo with predominant follicular involvement

Lichenoid reaction.

What about a granulomatous tattoo reaction in a patient with LES?

I perceive that the infiltrate is predominantly lymphocytic with deep extension, folliculocenteric pattern and follicular hyperplasia. What about tattoo-induced pseudolymphoma (or pseudolymphomatous folliculitis though no much distortion of hair follicles).

Necrobiosis lipodica in a tattoo site.Has been reported before.

https://www.ncbi.nlm.nih.gov/pubmed/22784523

Dear All 

From Dr Chaudhry:

I gave the answer away in the clinical !!! This was a solitary lesion and best fitted with a lichenoid reaction to red tattoo with predominant follicular involvement