一名 38 岁男性因背部长期纹身出现红斑丘疹。皮肤镜检查显示多形性血管图案，具有蛇形和点状血管，以及闪亮的白蓝色线条，表明纤维基质与纹身颜料混合。组织病理学分析证实为 Pinkus 纤维上皮瘤 (FeP)。 FeP 通常表现为红斑或色素减退肿瘤，可能类似于良性和恶性病变。该病例突出了 FeP 在纹身上的独特表现，强调了皮肤镜检查在鉴别诊断中的重要性。手术切除仍然是首选治疗方法。这是第一个有记录的由纹身引起的 FeP 病例。© 作者 2024。由牛津大学出版社代表英国皮肤科医师协会出版。版权所有。如需商业重复使用，请联系 reprints@oup.com 获取转载和转载的翻译权。所有其他权限都可以通过我们网站文章页面上的权限链接通过我们的 RightsLink 服务获得 - 如需了解更多信息，请联系journals.permissions@oup.com。

A 38-year-old man presented with an erythematous papule over a longstanding back tattoo. Dermoscopic examination revealed a polymorphous vascular pattern with serpentine and dotted vessels, and shiny white-blueish lines indicating a fibrous stroma mixed with tattoo pigment. Histopathological analysis confirmed fibroepithelioma of Pinkus (FeP). FeP typically presents as an erythematous or hypopigmented tumor and may mimic benign and malignant lesions. This case highlights the unique presentation of FeP over a tattoo, underscoring the importance of dermoscopy in differential diagnosis. Surgical excision remains the treatment of choice. This is the first documented case of FeP arising over a tattoo.© The Author(s) 2024. Published by Oxford University Press on behalf of British Association of Dermatologists. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.