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Correspondence |

The Dragon With Atypical Mole Syndrome

Nicolas Kluger, MD; Luc Thomas, MD, PhD
Arch Dermatol. 2008;144(7):948-949. doi:10.1001/archderm.144.7.948.
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Tattooing over benign melanocytic nevi raises several issues. The trauma induced by the procedure may trigger sudden clinical and pathologic modifications of a nevus requiring surgical removal and pathologic examination.1 We wish to highlight here another matter of concern: tattoos can considerably disturb the surveillance of nevi in patients needing careful, long-term follow-up.

Kluger  NCatala  DThibaut  I Naevus and tattooing: a matter of concern. J Eur Acad Dermatol Venereol 2008;22 (6) 767- 768
Link to Article[[XSLOpenURL/10.1111/j.1468-3083.2007.02483.x]]
Argenziano  GZalaudek  IFerrara  GHofmann-Wellenhof  RSoyer  HP Proposal of a new classification system for melanocytic naevi. Br J Dermatol 2007;157 (2) 217- 227
PubMed Link to Article[[XSLOpenURL/10.1111/bjd.2007.157.issue-2]]
Menzies  SWWesterhoff  KRabinovitz  HKopf  AWMcCarthy  WHKatz  B Surface microscopy of pigmented basal cell carcinoma. Arch Dermatol 2000;136 (8) 1012- 1016
PubMed Link to Article[[XSLOpenURL/10.1001/archderm.136.8.1012]]
Bono  RGiampetruzzi  ARConcolino  F  et al.  Dermoscopic patterns of cutaneous melanoma metastases. Melanoma Res 2004;14 (5) 367- 373
PubMed Link to Article[[XSLOpenURL/10.1097/00008390-200410000-00006]]
Mangas  CFernandez-Figueras  MTCarrascosa  JM  et al.  A tattoo reaction in a sentinel lymph node from a patient with melanoma. Dermatol Surg 2007;33 (6) 766- 767
PubMed Link to Article[[XSLOpenURL/10.1111/dsu.2007.33.issue-6]]
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Figure 1.

A, Dragon tattoo covering a large portion of the back with a surgical scar visible on the lower left flank; B, close-up view showing how the tattoo spares nevi in some cases and covers them over in other cases.

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Figure 2.

Dermoscopic examination of a nevus displaying a reticular global pattern with black-blue globules related to exogenous tattoo pigment.

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