Systemic sarcoidosis presenting in a tattooed man undergoing treatment for hepatitis C


  • Conflict of interest: none.

  • This paper was originally presented as an oral presentation at the British Association of Dermatologists 2003, Brighton, UK.

Dr Gayathri K Perera, St John's Institute of Dermatology, Lambeth Palace Road, London SE1 7EH, UK.


A heavily tattooed man presented with nodular, ulcerated sarcoidal lesions distributed throughout all the colours of his tattoos. The lesions developed within the confines of his tattoos 4 months into therapy with ribavirin and interferon-α for chronic hepatitis C. This appears to be the first case of sarcoidosis in association with numerous pigment colours as well as dual therapy for hepatitis C.