Granulomas en tatuaje: ¿manifestación inicial de sarcoidosis? Tattoo Granulomas: Initial Manifestation of Sarcoidosis?

Summary Sarcoid granulomatous dermatitis is one of the complications after tattooing. The presence of these granulomas can be produced by a foreign body reaction, a hypersensitivity phenomenon to the dye used or a sign of sarcoidosis. The histopathologic examination of the granuloma is not specific, and it is neccesary a general evaluation of the patient to discard a systemic involvement. We report a 31 years old woman who developed noncaseating epithelioid granulomas in a red tattoo. The complementary studies showed bilateral hiliar adenopathies consistent with sarcoidosis. The tattoo granulomas were the first manifestation of the disease.