TY  - JOUR
AU  - Tammaro, Antonella
AU  - Cerqua, Dario
AU  - Gaetano, Elena
AU  - Demofonte, ilaria
AU  - De Marco, Gabriella
AU  - Dastoli, Stefano
TI  - Multifocal auricular keloids following piercing: clinical presentation, contributing factors, and therapeutic considerations in a young adult
PY  - %2026/%07/%01
Y2  - %2026/%08/%27
JF  - Aesthetic Medicine
JA  - Aesthetic Medicine
VL  - 12
IS  - 2
SE  - Case Report
DO  - 10.57662/am.2026.18536
UR  - https://doi.org/10.57662/am.2026.18536
SP  - 18536
AB  - 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.
ER  -