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Common Complications of Body Piercing from Western Journal of Medicine Julius Metts, One Shields Ave Cowell Student Health Center University of California, Davis School of Medicine Davis Questions Patient 1 A 25-year-old male college student is seen in the office with a 1 month history of a small bump on the left nasal ala just lateral to a piercing site. He had his nose pierced 2 months previously (figure 1). Blood and yellow fluid have been draining from the bump intermittently. The patient would like to have it removed. Figure 1. (click image to zoom) Small bump near a piercing site on the left nasal ala. What are the diagnosis and treatment of this bump? Patient 2 A 20-year-old female college student presents to her physician because for 3 weeks she has had increasing redness of the left earlobe after reintroducing an earring that she had left out for 1 month. The earlobe has become red, tender, and swollen over the past week, and vesicles and a yellow crusty discharge have developed (figure 2). The patient has tender bumps at the angle of the jaw. Figure 2. (click image to zoom) Vesicles on the red, tender, and swollen left earlobe. What are the diagnosis and treatment of these lesions? Patient 3 A 23-year-old college student visits her physician because for 5 days she has had increasing redness and tenderness of the mid to upper ear helix. She has had multiple piercings along the lateral helix. She is wearing one of her favorite earrings, which looks like a wrench. What are the diagnosis and treatment of this area (figure 3)? Figure 3. (click image to zoom) Upper ear helix is red and tender. Patient 4 This patient, a 22-year-old woman, is seen in the office with a growth on her left ear that started 2 years ago from a previous ear piercing at that site. What are the diagnosis and treatment of this growth (figure 4)? Figure 4. (click image to zoom) Growth on the left ear that started 2 years ago. -------------------------------------------------------------------------------- Section 1 of 2 West J Med 176(2):85-86, 2002. © 2002 BMJ Publishing Group
Common Complications of Body Piercing from Western Journal of Medicine Julius Metts, One Shields Ave Cowell Student Health Center University of California, Davis School of Medicine Davis Questions Patient 1 A 25-year-old male college student is seen in the office with a 1 month history of a small bump on the left nasal ala just lateral to a piercing site. He had his nose pierced 2 months previously (figure 1). Blood and yellow fluid have been draining from the bump intermittently. The patient would like to have it removed. Figure 1. (click image to zoom) Small bump near a piercing site on the left nasal ala. What are the diagnosis and treatment of this bump? Patient 2 A 20-year-old female college student presents to her physician because for 3 weeks she has had increasing redness of the left earlobe after reintroducing an earring that she had left out for 1 month. The earlobe has become red, tender, and swollen over the past week, and vesicles and a yellow crusty discharge have developed (figure 2). The patient has tender bumps at the angle of the jaw. Figure 2. (click image to zoom) Vesicles on the red, tender, and swollen left earlobe. What are the diagnosis and treatment of these lesions? Patient 3 A 23-year-old college student visits her physician because for 5 days she has had increasing redness and tenderness of the mid to upper ear helix. She has had multiple piercings along the lateral helix. She is wearing one of her favorite earrings, which looks like a wrench. What are the diagnosis and treatment of this area (figure 3)? Figure 3. (click image to zoom) Upper ear helix is red and tender. Patient 4 This patient, a 22-year-old woman, is seen in the office with a growth on her left ear that started 2 years ago from a previous ear piercing at that site. What are the diagnosis and treatment of this growth (figure 4)? Figure 4. (click image to zoom) Growth on the left ear that started 2 years ago. -------------------------------------------------------------------------------- Section 1 of 2 West J Med 176(2):85-86, 2002. © 2002 BMJ Publishing Group