Auricular Pyogenic Granuloma Triggered by a Nonpiercing Ear Cuff

Pyogenic granuloma (PG) is an acquired benign vascular lesion commonly affecting the skin and mucous membranes across all age groups. It is often triggered by minor trauma or chronic irritation, with the head and neck region being the most frequently involved (36%). Although PG can resolve spontaneously, surgical intervention is often warranted due to cosmetic concerns, bleeding, or pain. Auricular PG is rare, accounting for approximately 1% of cases, and has been linked to ear piercings. We present the first reported case of auricular PG associated with the use of a nonpiercing ear cuff. Given that ear cuffs are generally considered safe accessories, this case underscores the importance of recognizing such devices as potential triggers. It also highlights the utility of scanning electron microscopy and energy-dispersive x-ray spectroscopy in identifying embedded metals that may contribute to chronic inflammation.