Unusual Presentation of Skin Tattoo-Associated Panuveitis

ABSTRACT

Aim

We report a case of a young male who developed bilateral panuveitis after extensive tattooing.

Design

Case report.

Methods

A 22-year-old male with a history of inflamed tattoos presented with pain in both eyes and blurred vision in the left eye. Clinical examination showed ciliary congestion, flare, vitreous cells in both eyes, and posterior synechiae in the left eye. Optic nerve was swollen in both eyes. OCT scans demonstrated subretinal blood, associated with neurosensory macular detachment in the left eye. The skin tattoo biopsy showed a granulomatous inflammation without evidence of sarcoidosis. Long-term corticosteroid therapy allowed a regression of clinical signs and symptoms with full recovery.

Conclusion

TAttoo Granulomas with Uveitis (TAGU) is a syndrome with numerous clinical presentations. In our case, optic nerve head oedema and subretinal hemorrhage at the posterior pole were the presentation signs. Ophthalmologists should always consider TAGU as a diagnosis in patients with a history of inflamed tattoos.

KEYWORDS:

• Tattoo
• uveitis
• TAttoo Granulomas with Uveitis (TAGU)
• panuveitis
• optic disc oedema
• subretinal hemorrhage
• corticosteroid therapy

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

The authors reported that there is no funding associated with the work featured in this article.