diff --git a/README.rst b/README.rst
index 461509e..2fdb69c 100644
--- a/README.rst
+++ b/README.rst
@@ -92,6 +92,7 @@ plantuml_latex_output_format
   :eps: generate .eps (not supported by `pdflatex`)
   :pdf: generate .eps and convert it to .pdf (requires `epstopdf`)
   :png: generate .png
+  :tikz: generate .latex in the TikZ format
   :none: do not generate any images (ignore uml directive)
 
   Because embedded png looks pretty bad, it is recommended to choose `pdf`
diff --git a/sphinxcontrib/plantuml.py b/sphinxcontrib/plantuml.py
index a20481a..7766494 100644
--- a/sphinxcontrib/plantuml.py
+++ b/sphinxcontrib/plantuml.py
@@ -555,6 +555,36 @@ def _lookup_latex_format(fmt):
             % (', '.join(map(repr, _KNOWN_LATEX_FORMATS)), fmt))
 
 
+def _latex_adjustbox_options(self, node):
+    adjustbox_options = []
+    if 'width' in node:
+        if 'scale' in node:
+            w = self.latex_image_length(node['width'], node['scale'])
+        else:
+            w = self.latex_image_length(node['width'])
+        if w:
+            adjustbox_options.append('width=%s' % w)
+    if 'height' in node:
+        if 'scale' in node:
+            h = self.latex_image_length(node['height'], node['scale'])
+        else:
+            h = self.latex_image_length(node['height'])
+        if h:
+            adjustbox_options.append('height=%s' % h)
+    if 'scale' in node:
+        if not adjustbox_options:
+            adjustbox_options.append('scale=%s'
+                                      % (float(node['scale']) / 100.0))
+    return adjustbox_options
+
+
+def _latex_add_package(self, package):
+    # TODO: Currently modifying the preamble to add a package, there may be a cleaner solution
+    package = '\\usepackage{%s}' % (package,)
+    if package not in self.elements['preamble']:
+        self.elements['preamble'] += package + '\n'
+
+
 def latex_visit_plantuml(self, node):
     _render_batches_on_vist(self)
     if 'latex_format' in node:
@@ -572,12 +602,18 @@ def latex_visit_plantuml(self, node):
         raise nodes.SkipNode
 
     if fmt == 'tikz':
-        package = '\\usepackage{tikz}'
-        if package not in self.elements['preamble']:
-            self.elements['preamble'] += package + '\n'
+        _latex_add_package(self, 'tikz')
+
         base, ext = os.path.splitext(refname)
+        input_macro = '\\input{{%s}%s}' % (base, ext)
 
-        self.body.append('\\input{{%s}%s}' % (base, ext))
+        adjustbox_options = _latex_adjustbox_options(self, node)
+        if adjustbox_options:
+            _latex_add_package(self, 'adjustbox')
+            options = ','.join(adjustbox_options)
+            self.body.append('\\adjustbox{%s}{%s}' % (options, input_macro))
+        else:
+            self.body.append(input_macro)
     else:
         # put node representing rendered image
         img_node = nodes.image(uri=refname, **node.attributes)
diff --git a/tests/test_functional.py b/tests/test_functional.py
index 587091e..77cce9b 100644
--- a/tests/test_functional.py
+++ b/tests/test_functional.py
@@ -262,7 +262,7 @@ def test_buildlatex_simple_with_tikz():
     """
     files = glob.glob(os.path.join(_outdir, 'plantuml-*.latex'))
     assert len(files) == 1
-    assert re.search(br'\\(sphinx)?input\{+plantuml-',
+    assert re.search(br'\\input\{+plantuml-',
                      readfile('plantuml_fixture.tex'))
 
     content = readfile(files[0]).splitlines()
@@ -270,6 +270,45 @@ def test_buildlatex_simple_with_tikz():
     assert content[1][2:] == b'Hello'
 
 
+@with_runsphinx('latex', plantuml_latex_output_format='tikz')
+def test_buildlatex_simple_scale_with_tikz():
+    """Generate simple LaTeX with TikZ
+
+    .. uml::
+       :scale: 20%
+
+       Hello
+    """
+    assert re.search(br'\\adjustbox\{scale=0.2\}\{\\input\{+plantuml-',
+                     readfile('plantuml_fixture.tex'))
+
+
+@with_runsphinx('latex', plantuml_latex_output_format='tikz')
+def test_buildlatex_simple_width_with_tikz():
+    """Generate simple LaTeX with TikZ
+
+    .. uml::
+       :width: 50mm
+
+       Hello
+    """
+    assert re.search(br'\\adjustbox\{width=50mm\}\{\\input\{+plantuml-',
+                     readfile('plantuml_fixture.tex'))
+
+
+@with_runsphinx('latex', plantuml_latex_output_format='tikz')
+def test_buildlatex_simple_height_with_tikz():
+    """Generate simple LaTeX with TikZ
+
+    .. uml::
+       :height: 50mm
+
+       Hello
+    """
+    assert re.search(br'\\adjustbox\{height=50mm\}\{\\input\{+plantuml-',
+                     readfile('plantuml_fixture.tex'))
+
+
 @with_runsphinx('latex', plantuml_latex_output_format='pdf')
 def test_buildlatex_simple_with_pdf():
     """Generate simple LaTeX with PDF