Volume 3, Issue 4, Pages (July 2017)

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Volume 3, Issue 4, Pages 348-350 (July 2017) Systemic contact dermatitis to a surgical implant presenting as red decorative tattoo reaction Hana K. Cobb, BS, Michi M. Shinohara, MD, Jason T. Huss, DPM, Marshall P. Welch, MD, Jennifer M. Gardner, MD JAAD Case Reports Volume 3, Issue 4, Pages 348-350 (July 2017) DOI: 10.1016/j.jdcr.2017.05.003 Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Hummingbird and flower on volar aspect of left wrist with erythema, scaling, hemorrhagic crusting, and lichenification over red pigmented areas. JAAD Case Reports 2017 3, 348-350DOI: (10.1016/j.jdcr.2017.05.003) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Tattoo on right ankle with edema and scaling localized to red pigment. JAAD Case Reports 2017 3, 348-350DOI: (10.1016/j.jdcr.2017.05.003) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Tattoo with edema limited to the red pigment and minimal scaling throughout. JAAD Case Reports 2017 3, 348-350DOI: (10.1016/j.jdcr.2017.05.003) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 4 Tattoo from Fig 3 with resolution of scaling and edema. JAAD Case Reports 2017 3, 348-350DOI: (10.1016/j.jdcr.2017.05.003) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions