Can You Get Ear Piercings with Chronic Hives? Expert Advice - Dermatology

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Can individuals with urticaria get their ears pierced?


Hello, I am considering getting my ears pierced, but I have been dealing with chronic urticaria for the past two years.
I am concerned that getting my ears pierced may lead to complications related to my condition.
I would like to ask for a doctor's advice on this matter.

Xiao Mo Nu, 10~19 year old female. Ask Date: 2017/12/29

Dr. Li Yufen reply Dermatology


Hello: Regarding chronic urticaria, you can refer to Dr.
Chiu Chia-Yu's article introduction at http://epaper.ntuh.gov.tw/health/201206/special_1_1.html.
Generally speaking, there is no direct relationship between urticaria and ear piercing.
The main concern with ear piercing is the predisposition to keloid formation, which can lead to hypertrophic scars.
Additionally, it is important to pay attention to whether the material of the earrings may cause skin allergies.
Thank you!

Reply Date: 2017/12/29

More Info


When considering getting ear piercings while having chronic hives (urticaria), it is essential to weigh the potential risks and benefits carefully. Chronic hives can be a challenging condition, often characterized by recurrent, itchy welts on the skin that can vary in size and can appear anywhere on the body. The underlying causes of chronic hives can be diverse, including allergies, autoimmune disorders, stress, and even certain medications.
Before proceeding with ear piercings, here are several factors to consider:
1. Skin Sensitivity: Individuals with chronic hives often have sensitive skin that can react to various stimuli, including metals used in earrings. It's crucial to choose hypoallergenic materials, such as surgical stainless steel, titanium, or gold, to minimize the risk of an allergic reaction. Nickel is a common allergen found in many jewelry pieces, so avoiding it is advisable.

2. Risk of Infection: Chronic hives can lead to skin that is already inflamed or sensitive. Piercing the skin can introduce bacteria, leading to infections. If you have active hives at the time of the piercing, the risk of infection may be higher. It is advisable to wait until your hives are well-controlled before considering a piercing.

3. Healing Process: The healing process for a new piercing can be complicated by chronic hives. If you experience flare-ups during the healing period, it may lead to increased irritation around the piercing site, potentially prolonging healing or causing complications.
4. Consultation with a Dermatologist: Before making any decisions, it is highly recommended to consult with a dermatologist or an allergist who understands your chronic hives condition. They can provide personalized advice based on your medical history and current health status. They may also suggest treatments to manage your hives better before and after the piercing.

5. Aftercare: If you decide to go ahead with the piercing, proper aftercare is crucial. This includes cleaning the area with saline solution or a recommended antiseptic, avoiding touching the piercing with dirty hands, and monitoring for signs of infection, such as increased redness, swelling, or discharge.

6. Alternative Options: If you are concerned about the potential complications of ear piercings, consider alternative forms of adornment that do not involve puncturing the skin, such as clip-on earrings or magnetic earrings. These options can provide a similar aesthetic without the risks associated with piercings.

In conclusion, while it is possible to get ear piercings with chronic hives, it is essential to approach the decision with caution. Prioritize your health by consulting with a healthcare professional, choosing the right materials, and ensuring proper aftercare. If you have any doubts or if your hives are currently active, it may be best to postpone the piercing until your condition is stable.

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