Een vrouw met bultjes in een tatoeage

Diagnose in beeld
Nicole Hendrix en Feiko Rijken

A woman with papules in a tattoo

A healthy 21-year-old woman presented with multiple, 1-4 mm, skin-coloured papules following the ink pattern of a feather-shaped tattoo; this was diagnosed as a human-papilloma-virus induced cutaneous verrucae plana (flat wart). Minor trauma can result in auto-inoculation or pseudo-koebnerization; it is, therefore, important to not to tattoo through a wart to avoid spreading the disease.

Conflict of interest and financial support: no conflicts of interest have been reported.