Fatmanur Hacınecipoğlu, Bengü Çevirgen Cemil, Fatma Korkmaz, Selda Pelin Kartal
Turkish Journal of Dermatology - 2025;19(4):247-250
Eruptive milia within tattoos are rare and usually self limited, yet they can mimic tattoo related inflammatory reactions that require aggressive treatment. We report a 21 year old man with tiny white papules confined to the red ink portions of a recent tattoo; dermoscopy showed multiple, millimetric, bright-white round clods, without a specific vascular component; with a smooth surface and no scale over a homogeneous red background supporting a diagnosis of milia. Recognizing this benign entity and distinguishing it from red pigment reactions such as lichenoid, granulomatous/sarcoidal, or pseudolymphomatous changes helps avoid unnecessary treatments (e.g., corticosteroids, excision or laser therapy).
