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Background  Massive earlobe scarring/keloid formation can occur after ear piercing in individuals of African descent.  Case report:  A 14-year-old African girl with pierced ears in childhood presented with two progressively growing and disfiguring tumors on both earlobes. The maximum diameter of each lesion was 5.5 centimeters, and the weight of each lesion was approximately 20 grams. Histologically, there was a mixed pattern of keloid and hypertrophic scarring.  Discussion:  Massive keloids can occur after ear piercing in childhood. It is unclear why some individuals develop these massive keloids.

Extensive Keloid and Hypertrophic Mixed Scarring Pattern in Ear Lobes of a 14-Year-Old African Female: A Case Report