{
  "abstract": "Sarcoidosis is a systemic granulomatous disease which may affect the skin in about one-third of patients. It is characterised by the histopathological finding of non-caseating granulomas. There is a predilection for cutaneous sarcoidosis towards prior trauma sites. Tattoo-associated sarcoidosis may be caused by the injected foreign pigment or its by-products. These reactions are commonly observed with black and red dyes, although other colours have been implicated. Currently, there are no evidence-based treatment regimens of tattoo sarcoidosis; however, the most commonly used treatments leading to clinical improvement in both symptoms and tattoo appearance include systemic steroids followed by immunosuppressive agents like methotrexate. We present a case of a woman with a history of pulmonary and cutaneous sarcoidosis found to have sarcoidosis within her tattoo who was successfully treated with hydroxychloroquine monotherapy, without preceding systemic corticosteroids.",
  "authors": [
    {
      "affiliations": [
        "Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA",
        "Wegner Health Science Information Center, Sioux Falls, South Dakota, USA"
      ],
      "name": "Tinotenda Sekeramayi"
    },
    {
      "affiliations": [
        "University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA"
      ],
      "name": "Touba Naim"
    },
    {
      "affiliations": [
        "Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA"
      ],
      "name": "Joel Tjarks"
    },
    {
      "affiliations": [
        "Avera Medical Group, Sioux Falls, South Dakota, USA"
      ],
      "name": "Jana Johnson"
    },
    {
      "affiliations": [
        "Department of Rheumatology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA"
      ],
      "name": "Joseph Fanciullo"
    }
  ],
  "title": "Efficient pair, hydroxychloroquine monotherapy for tattoo-associated sarcoidosis",
  "uid": "b33db147-afed-5b36-8873-bc09ca8678f2"
}