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
Posted by Toni Brayer, MD at 12:21 PM