We present this case to demonstrate how ILK injections can be an effective, non-destructive method of treating tattoo reactions
that do not resolve with topical corticosteroids. Based on the success of our patient, we believe treatment with ILK injections
should be attempted before more invasive therapies such as excision or laser treatment.
This case also represents an interesting presentation of a rare reaction to purple tattoo pigment. Though clinically consistent with a lichenoid tattoo reaction, pathology showed the etiology to be granulomatous, leading us to label it as a lichenoid-like granulomatous tattoo reaction. It is unclear whether this presentation
is unique to purple tattoo pigment only, or if it may be seen with other tattoo colors as well.
DISCLOSURE
The authors have no financial conflicts of interest to declare.
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AUTHOR CORRESPONDENCE
Jared Jagdeo MD MS……........................................ jrjagdeo@gmail.com