Multiple Keloids in Pierced Ear

A 23-year-old woman presented with medial and lateral pruritic keloids on her right earlobe, which had been pierced several years earlier. These lesions began to develop during the patient's pregnancy 2 years earlier. Keloids also were noted on the presternal region. The patient reported that these had begun as pimples that spontaneously enlarged.

This patient's lesions have not responded to intralesional cortisone treatments. Excision and pressure also may be tried.