A 45-year-old Caucasian man with chronic hepatitis C, on treatment with pegylated IFN and ribavirin, presented with painless swelling of a pre-existing tattoo (Fig. 1A). On examination, the tattoo was swollen and clearly demarcated. His interferon regimen was continued and he was referred to dermatology clinic. Subsequently, he received steroids for exacerbation of his chronic obstructive pulmonary disease that resulted in near complete flattening of the involved tattoo (Fig. 1B). But it started swelling again after stopping steroids.
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