Intended for healthcare professionals

Endgames Spot Diagnosis

A pretty rash

BMJ 2015; 351 doi: (Published 16 October 2015) Cite this as: BMJ 2015;351:h5432
  1. Noha Elshimy, core medical trainee year 2 1
  1. 1Department of Medicine, Sandwell and West Birmingham NHS Trust, Birmingham, UK
  1. Correspondence to: N Elshimy nohaelshimy{at}

A 24 year old woman presented with a five day history of an itchy raised rash on her left shoulder. Two weeks earlier a temporary tattoo of a flower had been drawn in the exact distribution of the rash. What is the diagnosis?


Allergic contact dermatitis in response to a black henna tattoo.


Allergic contact …

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