2024: Volume 4, Issue 3
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PDFKeloids from Ear Piercing in People with Pigmented Skin in Sub-Saharan Africa: Modalities and Complications
Kourouma Hamdan Sarah*, Gbandama Koffi Kouamé Pacôme, Allou Ange-Sylvain, Amani Kaunan Leslie-Wilfried Gbonangbo, Coulibaly Souleymane Aziz, Kouassi Yao Isidore, Kouassi Kouamé Alexandre, Ahogo Kouadio Célestin, Kouamé Kanga, Kaloga Mamadou, Ecra Elidjé Joseph, Gbery Ildevert Patrice, Sangaré Abdoulaye
Department of Dermatology and Venereology, Treichville University Hospital, Abidjan / University Felix Houphouët-Boigny, Cocody, Abidjan, Côte d'Ivoire
*Corresponding author: KOUROUMA Hamdan Sarah, Department of Dermatology and Venereology, Treichville University Hospital, Abidjan / University Felix Houphouët-Boigny, Cocody, Abidjan, Côte d'Ivoire; Email: [email protected]; ORCID number: 0000-0002-9077-7010
Received Date: April 25, 2024
Publication Date: May 7, 2024
Citation: Sarah KH, et al. (2024). Compare the Keloids from Ear Piercing in People with Pigmented Skin in Sub-Saharan Africa: Modalities and Complications. Dermis. 4(3):20.
Copyright: Sarah KH, et al. © (2024).
ABSTRACT
Introduction: Ear piercing, a practice for aesthetic or ritual purposes, exposes practitioners to infectious and allergic risks. On pigmented skin, the risk of the appearance of a keloid scar should be noted. Our objective is to study piercing modalities and complications, factors favoring keloids, and clinical aspects on dark skin. Methodology: Cross-sectional study carried out over a year, in the dermatology department of the Treichville University Hospital (Abidjan), including adult patients of dark phototypes, presenting a post-piercing keloid of the ear. Results: Seventy-two patients were recruited, giving a hospital prevalence of 0.96% of post-ear-piercing keloids. And a proportion of 39% among keloids of all locations. Women represented 92% (sex ratio of 0.4). The average age was 25.61±5.77 years {18 – 52}. Thirty-six percent (36%) had a family history of keloids. The average time to onset after piercing was 14.9 months. It was mainly done at home (56%) and with jewelry (82%). The ear lobule was the main site (61%) with a single keloid in 90% of patients. Post-piercing skin infections were present in 53%. Surgical ablation followed by corticosteroid infiltration was the main treatment performed (77%). Carrying out the piercing at home (p<0.001), the use of jewelry for piercing (p=0.002), the large size of keloids (p=0.002), poor aseptic conditions (p<0.001) were statistically linked to the occurrence of keloids. Conclusion: Ear piercing at home, the use of jewelry, the large size of keloids, and poor aseptic conditions could promote the appearance of ear keloids on pigmented skin in sub-Saharan Africa.
Keywords: Piercing; Ear Keloid; Pigmented Skin; Africa
