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Keloid Associated With Ear Piercing
This is a classic keloidal mass, which can occur in any ethic group. Because keloids can be intensely painful, they almost always require removal.
A 22-year-old woman of Indian ethnicity complained about a spontaneously painful, sessile mass located on the posterior aspect of the ear. The lesion was located at the site of an ear piercing.
Key point: Physical examination revealed a classic keloidal mass associated with piercing designed to accommodate an earring. Because of the lesion’s size, conservative measures-such as intralesional corticosteroid injections-were felt to not likely be of benefit.
Treatment: The keloid was removed by horizontal excision, with preservation of a portion of the surface that was used as an autograft to cover the resulting defect. At the time of closure, and weekly for 8 weeks thereafter, the base and periphery were injected with triamcinolone acetonide (10 mg/mL dilution).
Note: While more common among African Americans, keloids can occur in any ethnic group. Keloids can be intensely painful, and such lesions almost always require removal.
Biden Administration Announces First 10 Prescription Drugs Slated for Price Negotiations
August 29th 2023The first 10 drugs identified for negotiations under the Inflation Reduction Act include several well advertised agents indicated to treat diabetes, heart failure, and other chronic diseases.
