This is an interesting case report of a giant keloid in the lobule of pinna following ear piercing.
30 years old female:
Swelling right lobule of ear - 5 years following ear lobe piercing
Gradually enlarging in size
Pain and redness +
H/o tendency for keloid formation +
This picture shows a giant keloid in the ear lobe
Discussion:A keloid is a type of scar which results in an overgrowth of tissue at the site of a healed skin injury. Keloids are firm, rubbery lesions or shiny, fibrous nodules and can vary from pink to flesh-colored or red to dark brown in color. A keloid scar is benign, non-contagious and usually accompanied by severe itchiness, sharp pains and changes in texture.
Keloids are pretty rare in children. More common only in adults. There appears to be a genetic predisposition for tendency to keloid formation.
Management: Surgical excision was done in this patient because of the bulk of the lesion and the cosmetic defect caused by the lesion. As a follow up local injections of depot steroid preparations was administered for a period of 6 months, once in 3 weeks to prevent recurrence.