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        15. Analysis of earlobe keloid resulting from bilateral piercing  
        - Comparative study of affected side and contra-lateral side - 
                
        Hiroaki Kuwahara1, Mamiko Tosa1, Itaru iwakiri1, 
        Shinpei Nara1 
        Masahiro Murakami1, Hiko Hyakusoku2 
        1:Department of Plastic and Reconstructive Surgery, Nippon Medical 
        School Musashikosugi Hospital, Kawasaki, Japan 
        2:Department of Plastic and Reconstructive Surgery, 
        Nippon Medical School, Tokyo, Japan 
  
         
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        The ear lobe is a common site for keloid formation. A history of ear 
        piercing is found in most cases of earlobe keloids. 
        We analyzed 58 patients with unilateral keloid resulting from bilateral 
        ear piercing to examine a potential relationship between methods of 
        piercing, inflammation, infection or any symptoms after piercing and 
        keloid formation. 
        There was no correlation between keloid formation and the physician who 
        performed the piercing or methods by which the piercing was done. 
        However, a correlation was found with perforation becoming infected or 
        inflamed for long periods. 
        Some patient had removed the pierce because of inflammation at the site 
        of earlobe piercing, after with the keloid formation began. It was 
        suggested that if there is inflammation or infection at the earlobe 
        after piercing, the patient should visit the clinic for consultation 
        before removing the pierce. |