Granulomatous contact dermatitis to palladium following ear piercing.

Sir, Contact of the skin with metals can induce several types of cutaneous reactions, mainly eczematous skin lesions. However, the increasing tendency to use metallic implants in the skin, mainly by the young populations, is leading to the appearance of other types of cutaneous reactions that can be difficult to differentiate from other infectious and noninfectious cutaneous disorders. We report a case of a granulomatous sarcoidal reaction following ear piercing, a rare complication with only incidental cases reported in the world literature.