# A Piercing Scar Over the Nose: A Rare Case of Cutaneous Pseudolymphoma

## TL;DR

A young woman's persistent nose piercing scar was diagnosed as cutaneous pseudolymphoma, not a typical hypertrophic scar, highlighting the need for accurate diagnosis.

## Contribution

This case report emphasizes the diagnostic challenge of distinguishing cutaneous pseudolymphoma from hypertrophic scars at piercing sites.

## Key findings

- A biopsy confirmed cutaneous pseudolymphoma instead of a hypertrophic scar in a patient with a persistent nose piercing lesion.
- Standard treatments failed, underscoring the importance of thorough evaluation and biopsy for accurate diagnosis.
- The case illustrates the clinical similarity between pseudolymphoma and hypertrophic scars.

## Abstract

In this study, we explore the diagnostic challenges of distinguishing hypertrophic scars from other conditions at piercing sites, illustrated by a case report of a young woman. The case highlights the importance of considering less common conditions, such as cutaneous pseudolymphoma, which can clinically mimic hypertrophic scars. The patient presented with a persistent raised spot on her nose six months after a piercing, initially treated as a hypertrophic scar. However, a biopsy revealed cutaneous pseudolymphoma, emphasizing the need for thorough evaluation and biopsy when standard treatments fail.