When ear piercings lead to keloid formation

January 23, 2009

A rare occurrence where a routine ear piercing goes horribly wrong.

When ear piercings lead to keloid formation Keloids are fibrous growths that uncommonly occur in cases of wound healing. They present predominantly in blacks, and any type of skin piercing can affect those predisposed to the disease.

The lesions can be severely disfiguring and painful, and often recur after treatment. The first-line therapy is injection of steroids into the keloid, with a 70 percent response rate. Surgical excision alone is not effective, as this option is often followed by a high frequency of recurrence.

Other treatment options that can be used in conjunction with steroid injections include covering the keloid with a prescription silicone gel, freezing the lesion with liquid nitrogen, or laser and radiation therapy.

This is a highly frustrating disease, in which the best therapy is prevention of keloid formation in the first place. That means, especially in this patient, not proceeding with any further body piercings.



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{ 2 comments }

1 Anonymous January 23, 2009 at 2:59 pm

i saw a much smaller version of this in the emergency department a couple of nights ago. at 11pm. “i’ve had this for a year and i thought i’d come in and get it fixed.”

give me a break

2 Dr. Val January 23, 2009 at 8:37 pm

Awesome photo!

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