@article{Tammaro_Cerqua_Gaetano_Demofonte_De Marco_Dastoli_2026, title={Multifocal auricular keloids following piercing: clinical presentation, contributing factors, and therapeutic considerations in a young adult}, volume={12}, url={https://mattioli1885journals.com/index.php/aestheticmedicine/article/view/18536}, DOI={10.57662/am.2026.18536}, abstractNote={
Introduction: Keloids are fibroproliferative scars arising from aberrant wound healing, with auricular sites being particularly susceptible after piercings. Objectives: To report the case of a young woman who developed multiple auricular keloids following piercings and to highlight the factors contributing to their progression. Methods: A 19-year-old woman with six keloid lesions on both ears following multiple piercings was clinically evaluated. The characteristics of the lesions and associated cutaneous findings were assessed. Results: The largest lesions were firm, sessile, and clinically stable, while newer formations showed mild inflammation. Crusted, desquamative areas on the earlobes suggested concomitant allergic contact dermatitis to nickel sulfate. Persistent use of piercings after the onset of early lesions likely contributed to further keloid development, particularly on the right antihelix. Conclusions: This case highlights the role of mechanical and inflammatory triggers in keloid progression and underscores the importance of early recognition, removal of precipitating factors, and consideration of multimodal therapy to prevent recurrence.
}, number={2}, journal={Aesthetic Medicine}, author={Tammaro, Antonella and Cerqua, Dario and Gaetano, Elena and Demofonte, ilaria and De Marco, Gabriella and Dastoli, Stefano}, year={2026}, month={Jul.}, pages={18536} }