A 34 year old man with bilateral anterior uveitis and a rash

Tattoo‐associated uveitis with or without systemic sarcoidosis: a comparative review of the literature

“…We selected 27 articles, published between 1952 and 2018, for a total of 39 patients . We considered three distinct groups separately: (i) sarcoidosis on permanent tattoos associated with uveitis and systemic involvement or cutaneous sarcoids outside of tattoos; (ii) granulomatous tattoo reactions associated with uveitis without evidence for systemic sarcoidosis; and we also included here (iii) exceptional cases of uveitis after tattooing, without any granulomatous reaction on tattoos nor systemic sarcoidosis . Only three series were dedicated to tattoo‐associated uveitis: seven cases from USA, three cases from Sweden and two cases from Czech Republic .…”

“…Tattoo granulomatous reaction with sarcoidosis and uveitis was reported in 14 patients, [8][9][10][11][12][13][14][15][16][17][18] all were men, aged between 20 and 52 (median age: 34 years). The reaction occurred from 1 to 20 years after the tattoos were performed.…”

Lumps, bumps and diagnostic stumps

“…4 Over 90% of patients have respiratory symptoms at presentation, including shortness of breath, cough, or wheeze, so in this respect our case is unusual, although similar cases have previously been reported. 5 Sarcoidosis is also frequently found as an incidental finding on chest X-ray as bilateral hilar lymphadenopathy or pulmonary infiltrates. 3 Respiratory examination is usually normal, although in more advanced disease there may be fine inspiratory crackles due to pulmonary fibrosis.…”

“…6 Other clinical features include skin involvement (24%) (maculopapular lesions, lupus pernio, or infiltration of scars or tattoos by granulomas, as well as erythema nodosum). 5 There is ocular involvement in 12% patients, usually anterior uveitis, but ocular involvement may be asymptomatic so all patients should undergo slit lamp examination.…”