Saturday, January 17, 2009

When Ear Piercings Go Bad - Keloids
















Women (and men) around the world love pierced ears. But sometimes piercings can go bad. The earlobes of this 28 year old women show huge masses that are called keloids. She had her ears pierced at age 6 and the keloids started forming when she was 9 years old.

Keloids are from excessive collagen formation that occurs during connective tissue repair. They extend beyond wound margins and usually do not regress. Microscopically you find large collagen bundles in keloids. They are common on the upper body and can develop years after injury. Persons of African American Descent are more susceptible to keloids than other races.

Keloids can be treated with intralesional corticosteroid injection, silicone gel sheeting, radiation therapy with surgery, pulsed dye laser and bleomycin.

This woman wanted to keep her keloids! I guess they do make her distinctive in a bizarre sort of way!

From Consultant, Dec 2008
Photo: Clinical Dermatology: A Color Guide to Diagnosis and Therapy

45 comments:

Anonymous said...

My initial reaction was ewww.
Will these continue to keep growing?
I can't imagine being more sought after for jobs or dating with those keloids.

Healthnut said...

Do you think the odds are higher for those consuming more collagen fiber (meat)?

Toni Brayer MD said...

Healthnut: No. Although collagen is a protein, collagen production isn't related to meat ingestion. Collagen has a complex amino acid structure and there are many different types of collagen in the body. There are a number of collagen "diseases" that are genetic and keloid formation is genetic also.

Cary said...

Egads. They look like huge spider egg sacs. I wonder if she likes to hang on to goiters and hemorrhoids, too.

CountryMidwife said...

I keloid too, but thankfully, not from my ear piercings. But even cat scratches leave raised scars. I have learned to apply compression band aids to any wound and my scarring is reduced. My largest keloid, which is right between my clavicles, honest to goodness hurt for 20 years. After about 20 years it also drastically changed color (angry pink to pale pink). The two or so cortisone injections I tried in adolescence hurt *severely* too. Just FYI here, for the health profs reading. And Doc, as an OB have you seen any problems with episiotomy or laceration repairs keloiding? I never have, but wonder why.... PS - I'm Caucasian, and my keloids always seem to surprise docs and NPs...

Toni Brayer MD said...

CountryMidwife: I have never seen genital keloids. I have seen keloids from naval piercing but the upper body (chest, shoulders,neck, face) are more prone to keloid. I have seen huge keloid thickening on the sternum (between clavicles) as you described in Caucasion heritage so I think that is pretty common.

My own daughter forms keloids after trauma on her arms and forehead. I don't.

tracy said...

i have lots of keloid scars, but what i really wanted to say was eewwww, she wanted to keep them...? i know how truly gross this sounds bit i would be constantly trying to "self treat"..ie, drain them things, even if i knew it wouldn't work...how'd she let them get so damn big...?
A-kay, i shouldn't judge...that's just wrong of me...

Anonymous said...

I am the same age and I also have keloids. Well just one very large on my left earlobe.
I wear my below shoulder length hair, loose (even in the dead heat of summer) just to avoid any stares of gasps about my keloid. Having these scars can really play with your self-esteem.

A little old lady who lives in my building looked at me the other day and said "youre so pretty, must you always have your hair covering your face?". Then she proceded to gently pull my hair off my forehead. I almost had a coronary. And bolted away from her as quickly as I could.


Now I am sure she just sees me as another freakish goth-like kid. (i colored my hair jet back). It will take sometime for me to save and find a surgeon to take this off. Till then society will perhaps continue to view me as 'quirky/strange' rather that just a girl with a debilitating scar.

Anonymous said...

My son has a keloid behind his ear and has been removed about twice but due to not having insurance we have not been able to keep going back for the injections that are suppose to help from growing another keloid so we are not even sure if it works! Does anyone know if keloids can be stopped from growing with these injection and if not do people just live with them and are they harmful in anyway.I feel so bad for my son but it seems like it does not bother him anymore, but my concern is that it's getting so big that it kind of seems like his ear is starting to fold over.Any info would help!!

sasha said...

thanks for this blog
here i would love to share
a blog about women health
pregnancy and tubal reversal

http://www.mybabydoc.com/blog/
tubal reversal

Julie said...

I have keloids on both ears, they were burnt off in the docs surgery when I was 10yrs old then grew back so I had them cut out when I was 12yrs old, after that they got bigger and hurt when knocked & itched when growing, I am now 34 and they have been doormat for over 10yrs, they have shrunk significantly and no longer hurt or itch and I can no longer see the blood vessels in them. Is there anyone out there who has had this situation and then had them removed again? I am considering trying it again but am scared that it will reactivate everything, one doctor suggested getting another peicing to see if it happens again.

Anonymous said...

I wasn't able to get my ears pierced until I was 13. And when I finally did get them pierced, they got infected. And a little while after that I got keloids. During the time before I got the keloids, I got my cartilage pierced. It keloided as well. I got the keloids on my lobes removed, but still have the keloid on my cartilage.

I have 2 questions.
1. What is the best way to get rid of the keloid, or make it smaller, without surgery?

and 2. Will my daughter get keloids?

I am Caucasian and neither of my parents got keloids. And my daughter's dad doesn't get them.

Anonymous said...

i posted the above comment.

It only happens in my ears. I have my nose and my belly button pierced and neither have keloided.

janelle said...

I'm also suffering the same fate of having a very big keloid in my left ear i think it's in the cartilage. I had it removed 3 times and i just kept getting bigger, twice as big as the last time. It really affected my self-esteem and my career. I am a nurse but I haven't practiced it because we all know how nurses do their hair. I am living in a third world country and can't afford plastic surgery. helP!

Metformin 850 mg said...

With great pleasure I read your blog. The information is very interesting. my gratitude to you.

Anonymous said...

jesus irish pub mummy daddy button christ shes growing something outta 'er ear!

Colton Marchiori said...

Hi. I read a few of your other posts and wanted to know if you would be interested in exchanging blogroll links?

logo design said...

Hello ,I also have alkaloids. Well just one very large on my left earlobe.

xenical said...

that is beyond disgusting!

acheter kamagra said...

This impressive information like each reader. Thank you!

Health Blog said...

Hi Everybody,
You really did a great job. I found your blog very interesting and very informative. I think your blog is great information source & I like your way of writing and explaining the topics. Keep it up. I'm going to follow your blog.

omnitropin said...

omnitropin

glass dining table said...

Wow, superb blog layout! How long have you been blogging for? you make blogging look easy. The overall look of your website is excellent, as well as the content!

Jasmine Kim said...

she should take that offf. LOLLLLL dudeee she is weirddddd

pharmacy said...

Great post!

Kamagra said...

thanks for the great post. i can only hope another show like lost will come around again one day.

lower back stretches said...

This is unbelievable! I can't imagine a simple piercing can result something like this. Too bad for this guy.

irctc pnr status said...

thanks for putting this article - really you put some great information on your blog. i will love to refer this to my friends

que es seo said...

I found a great deal of useful material here!

www.natalia.biz said...

Goodness, there's a great deal of useful info in this post!

Anonymous said...

What a great post. Did you know that fashion icons are really popular? I didn't realize how much the fashion industry puts weight on this effort.

joomla development said...

I am really shocked guys looking at this picture! it is so horrible!

muebles said...

This will not have effect as a matter of fact, that's what I suppose.

saim said...

Thanks for such an interesting article here. I was searching for something like that for quite a long time and at last I have found it here.



find doctor list

Herbal Vitamins said...

I see the article quiet critical. Thanks for sharing anyways, nice to hear
different opinions on that topic.

Abby said...

I always appreciate people who share creativity with us thanks for the post keep posted and make me learn more
buy xanax online

buy percocet online said...

This is a really good read for me, Must admit that you are one of the best bloggers I ever saw.Thanks for posting this informative article.

saim said...

A really nice post and thanks to author for this post. Hoping to see more from you....:)



natural supplements

organic supplements said...

I got hand it to you Jonathan, great article buddy. I’ll need this one in the future. write more please.

find doctors list said...

I feel very glad for this quality content; you did such a fabulous work in this blog.

saim said...

It was very useful for me. Keep sharing such ideas in the future as well. This was actually what I was looking for, and I am glad to come here! Thanks for sharing the such information with us


buy curcumin

keylogger said...

Great for all of us very useful information.

Anonymous said...

m lso hvin a keloid.its on initial stage few days bck i ws unconscious about it but nw am feeling awkward finding solutions.i hv googled but whateva solution i am getting its written that results are variable and may it will not work.please if any of you have easy way to do somthing with this keloid reply to dis comment my name is isha and the keloid on my ear is in its initial stage.hope l get a solution for it.:)

Vanessa Hunter said...

www.naeturalhealthinformation.com
suppléments pour la santé d'élite

Buddha Tattoo said...

awesome,
thank you so much for sharing such an awesome

blog..
really i like your site.
i enjoyed...
Ear

Piercing