Keloids After Ear Piercing

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Keloid extending from the ear lobule to the anterolateral aspect of the neck. Similar presentation bilaterally.

Multiple keloids developed after a patient had an ear lobe piercing, got worse after excision

A 48-year-old black woman presented with a 24-year-history of keloids on her bilateral earlobes. The keloids were formed following ear piercing. One year after the keloid on the earlobes, she had undergone therapeutic excision. However, excision resulted in the extension of the scar to the neck regions bilaterally.

In the current presentation, the patient complained of gradually progressive, extensive, painless, firm, brown/ black-coloured, circumscribed masses over her neck’s anterolateral aspects. Moreover, the lesions were in continuity with keloidal masses of her earlobes bilaterally. The patient revealed that the disease had gradually worsened over the course of 3 years.

Keloidal masses on the anterolateral aspects of the neck bilaterally

Besides the above findings, the rest of the physical examination was unremarkable. Neither there were other scars on the body nor any systemic involvement. Moreover, a family history of similar symptoms was negative. the patient denied any other medical condition including viral infection, autoimmune or other related pathological entity.

Therefore, the treating physician considered keloid, granuloma faciale, lobomycosis and keloid morphea (nodular keloidal scleroderma) as differential diagnoses.

Since the patient reported that the local excision previously resulted in keloid extension, the physician decided not to opt for it this time. Therefore, the physician administered 3 intralesional injections of triamcinolone acetate at 3-month intervals with daily pressure therapy for 2 years. The patient had a satisfactory outcome.

Source:
Cugno S, Rizis D, Cordoba C. Beyond the borders of keloid formation: A case report. Can J Plast Surg. 2011;19(1):e10-e11.

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Dr. Arsia Parekh
Dr. Arsia Hanif has been a meritorious Healthcare professional with a proven track record throughout her academic life securing first position in her MCAT examination and then, in 2017, she successfully completed her Bachelors of Medicine and Surgery from Dow University of Health Sciences. She has had the opportunity to apply her theoretical knowledge to the real-life scenarios, as a House Officer (HO) serving at Civil Hospital. Whilst working at the Civil Hospital, she discovered that nothing satisfies her more than helping other humans in need and since then has made a commitment to implement her expertise in the field of medicine to cure the sick and regain the state of health and well-being. Being a Doctor is exactly what you’d think it’s like. She is the colleague at work that everyone wants to know but nobody wants to be. If you want to get something done, you approach her – everyone knows that! She is currently studying with Medical Council of Canada and aspires to be a leading Neurologist someday. Alongside, she has taken up medical writing to exercise her skills of delivering comprehensible version of the otherwise difficult medical literature. Her breaks comprise either of swimming, volunteering services at a Medical Camp or spending time with family.

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