1
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran,
2
Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract
Sarcoidosis is a granulomatous disease that can involve multiple organs including the lungs, eyes, nerves, and skin. Cosmetic tattooing can be a predisposing factor for sarcoidosis, and its incidence is likely to increase along with its popularity. A 47-year-old woman with symptoms of fever and polyarthritis along with erythema nodosum lesions on the legs, swollen eyebrows, and a history of multiple eyebrow tattooing was referred to our center. Since the signs and symptoms were positive for Löfgren’s syndrome triad including erythema nodosum, bilateral hilar lymphadenopathy, and polyarthritis, a diagnosis of acute sarcoidosis was made, and treatment was started accordingly. The patient was unresponsive to routine therapeutic agents used for sarcoidosis; however, she successfully responded to adalimumab. Our case indicates that systemic sarcoidosis could develop as a reaction to cosmetic tattooing, which might be refractory to conventional therapeutic agents including corticosteroids and non-biologic disease-modifying antirheumatic drugs, while tumor necrosis factor antagonists such as adalimumab, could lead to disease remission.
Mirzaei, A., Joharimoghadam, M. M., & Zabihiyeganeh, M. (2017). Adalimumab-Responsive Refractory Sarcoidosis Following Multiple Eyebrow Tattoos: A Case Report. TANAFFOS (Respiration), 16(1), 80-83.
MLA
Alireza Mirzaei; Mohamad Mehdi Joharimoghadam; Mozhdeh Zabihiyeganeh. "Adalimumab-Responsive Refractory Sarcoidosis Following Multiple Eyebrow Tattoos: A Case Report". TANAFFOS (Respiration), 16, 1, 2017, 80-83.
HARVARD
Mirzaei, A., Joharimoghadam, M. M., Zabihiyeganeh, M. (2017). 'Adalimumab-Responsive Refractory Sarcoidosis Following Multiple Eyebrow Tattoos: A Case Report', TANAFFOS (Respiration), 16(1), pp. 80-83.
VANCOUVER
Mirzaei, A., Joharimoghadam, M. M., Zabihiyeganeh, M. Adalimumab-Responsive Refractory Sarcoidosis Following Multiple Eyebrow Tattoos: A Case Report. TANAFFOS (Respiration), 2017; 16(1): 80-83.