The Distribution of Melanocytes in the Leptomeninges of the Human Brain

The purpose of this study was to determine the qualitative and quantitative distribution of melanocytes in human leptomeninges by histochemical and ultrastructural techniques and to search for melanocytes in the mesothelial linings of the pleural and peritoneal cavities. Knowledge of the extracutaneous distribution of pigment cells will facilitate the interpretation of systemic symptoms in depigmentation disorders, such as vitiligo and the Vogt-Koyanagi-Harada syndrome.In 15 brains examined, leptomeningeal pigment cells were found principally over the ventrolateral surfaces of the medulla oblongata. Only isolated pigment-containing cells were found in the meninges covering other parts of the brain. The mean number of pigment cells in the medullary meninges of 5 brains was 325/mm2 ± 96. The presence of melanosomes as single, membrane- bound granules in all stages of melanization confirms that the melanin-containing dendritic cells of the leptomeninges are melanocytes and not macrophages.No pigmented cells were observed in the pleural or peritoneal samples examined

Outbreak of Mycobacterium chelonae Infection Associated with Tattoo Ink

Background In January 2012, on the basis of an initial report from a dermatologist, we began to investigate an outbreak of tattoo-associated Mycobacterium chelonae skin and softtissue infections in Rochester, New York. The main goals were to identify the extent, cause, and form of transmission of the outbreak and to prevent further cases of infection. Methods We analyzed data from structured interviews with the patients, histopathological testing of skin-biopsy specimens, acid-fast bacilli smears, and microbial cultures and antimicrobial susceptibility testing. We also performed DNA sequencing, pulsed-field gel electrophoresis (PFGE), cultures of the ink and ingredients used in the preparation and packaging of the ink, assessment of source water and faucets at tattoo parlors, and investigation of the ink manufacturer. Results Between October and December 2011, a persistent, raised, erythematous rash in the tattoo area developed in 19 persons (13 men and 6 women) within 3 weeks after they received a tattoo from a single artist who used premixed gray ink; the highest occurrence of tattooing and rash onset was in November (accounting for 15 and 12 patients, respectively). The average age of the patients was 35 years (range, 18 to 48). Skin-biopsy specimens, obtained from 17 patients, showed abnormalities in all 17, with M. chelonae isolated from 14 and confirmed by means of DNA sequencing. PFGE analysis showed indistinguishable patterns in 11 clinical isolates and one of three unopened bottles of premixed ink. Eighteen of the 19 patients were treated with appropriate antibiotics, and their condition improved. Conclusions The premixed ink was the common source of infection in this outbreak. These findings led to a recall by the manufacturer