The border drawn in black ink the same day was not affected. Physical examination of the gray flame revealed several papulopustules measuring 1 mm to 4 mm in diameter ( Fig. The patient was then referred to the dermatology department. Asymptomatic lesions appeared 2 weeks later and were treated unsuccessfully with topical corticosteroids and antibiotics. Three months before consulting, he had the shield outlined in black and a gray flame added. Patient 1 was a 33-year-old man who had had a tattoo placed on his right leg 4 years previously. 1,2 Small outbreaks of skin infections due to Mycobacterium chelonae in contaminated tattoo ink have recently been reported. Skin complications arising from tattoos include contact dermatitis, photodermatosis, lichenoid reactions, granulomas (foreign body, sarcoid), and infection.
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