A “Tattoo” of Erythema Multiforme
Source: www.annals.edu.sg
Topic: Tattoo
Sort Desciption: 2) Polynesian tattoo. 3) Hyperpigmentation following erythema multiforme ... The Art of Maori Tattoo. 3rd ed. In: Wellington AH, Reed. AW, editors. ...
Content Inside: Annals Academy of Medicine 1 National Neuroscience Institute (Singapore General Hospital campus), Singapore Department of Neurology, Singapore General Hospital, Outram Road, Singapore Address for Correspondence: Dr Deidre Anne De Silva, National Neuroscience Institute (Singapore General Hospital campus), Department of Neurology, Singapore General Hospital, Outram Road, Singapore 298088. Email: gnrdsd@sgh.com.sg Question: What do you see in these photographs? 1) Staining from henna use 2) Polynesian tattoo 3) Hyperpigmentation following erythema multiforme (answer: on the last page of this issue) A 48-year-old woman of Indian ethnicity presented one year prior with cutaneous and oral erythematous target lesions associated with fever. This was diagnosed as erythema multiforme of unknown origin and she was treated with intravenous steroids. The lesions healed within 2 weeks, leaving hyperpigmentation in a pseudo-geometric pattern. Erythema multiforme lesions are known to cause alterations in skin color. The cutaneous lesions in this patient are reminiscent of Polynesian tattoos. REFERENCES 1. Habif TP. Clinical Dermatology. 3rd ed. St Louis, United States: Mosby- Year Book Inc, 1996. 2. Simmons DR. The Art of Maori Tattoo. 3rd ed. In: Wellington AH, Reed AW, editors. Auckland, New Zealand: Reed Publishing, 1999. A “Tattoo” of Erythema Multiforme Deidre Anne De Silva, 1 MRCP(UK) , Alvin BH Seah, 1 MRCP(UK) Fig. 1. Hyperpigmentation in a pseudo-geometric pattern over the back. Fig. 2. Similar hyperpigmentation over the upper limbs Images in Medicine
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