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TUESDAY, June 19, 2018 (HealthDay News) — In a case report published online June 18 in BMJ Case Reports<\/i>, a tattoo-related complication causing an inflammatory myopathy is described in an immunosuppressed patient.<\/p>\n
William Thomas Wilson, from NHS Greater Glasgow and Clyde in the United Kingdom, and colleagues present a case of complications related to tattooing in a 31-year-old woman with a history of cystic fibrosis who had undergone bilateral lung transplantation in 2009 and was on long-term immunosuppressive therapy. She had a large colored ink tattoo applied to her left thigh in January 2015 and presented to a rheumatology clinic 10 months later with constant pain causing regular sleep disturbance.<\/p>\n
The researchers found that the full blood count and all laboratory tests were normal. No bacterial or fungal growth was identified after extended culture of fluid aspirated from her knee; direct tuberculosis microscopy and culture for mycobacteria were negative. No abnormality was seen in plain radiographs of the knee, femur, or pelvis; on magnetic resonance imaging, focal inflammation of vastus medialis muscle was seen. Scattered internal nuclei, atrophic fibers, a mild perivascular inflammatory infiltrate, and upregulation of Human Leukocyte Antigen were seen in histopathology, indicative of an inflammatory myopathy which may have been affected by the ongoing immunosuppression.<\/p>\n
“This serves as a reminder to consider tattoo-related complications in the differential diagnosis of unusual atraumatic musculoskeletal pain, especially in immunosuppressed individuals,” the authors write.<\/p>\n
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