Which statement describes a granuloma in the context of cosmetic tattooing?

Which statement describes a granuloma in the context of cosmetic tattooing?

• A. A superficial skin lesion with no inflammation
• B. A freckle-like pigment that fades
• C. Internally, it is a round cluster of white blood cells in tissue; externally, it is a small raised round bump; it should not be tattooed over
• D. A harmless scar formed after tattooing

Answer: (C)

A granuloma is a localized immune reaction to foreign material, such as pigment particles from cosmetic tattooing. Inside the tissue, immune cells—primarily macrophages—arrange into a round cluster, sometimes forming multinucleated giant cells. Externally, this appears as a small raised bump on the skin. Because it represents ongoing inflammation around pigment, tattooing over a granuloma would worsen the reaction, potentially spread pigment and prolong the lesion. So the description fits: internally a round cluster of white blood cells in tissue, externally a small raised bump, and it should not be tattooed over.

A granuloma is a localized immune reaction to foreign material, such as pigment particles from cosmetic tattooing. Inside the tissue, immune cells—primarily macrophages—arrange into a round cluster, sometimes forming multinucleated giant cells. Externally, this appears as a small raised bump on the skin. Because it represents ongoing inflammation around pigment, tattooing over a granuloma would worsen the reaction, potentially spread pigment and prolong the lesion. So the description fits: internally a round cluster of white blood cells in tissue, externally a small raised bump, and it should not be tattooed over.