Cutaneous tattoo reactions are relatively frequent, including granulomatous, lichenoid,1'2 sarcoidal, morpheaform, and pseudolymphomatous reactions.1"5 Red tattoo pigment, which is often a mercury containing pigment, is most often to blame.6 Reactions to other pigments such as cobalt salts (blue), chrome salts (green), manganese salts, and cadmium salts have also been described.These reactions can occur within months of tattoo placement or can take many years to develop.
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