{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T20:40:08Z","timestamp":1746391208549,"version":"3.40.4"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Pilomatrixomas, also known as epithelioma calcificans, are benign tumors of hair follicle matrix cells that are often mistaken for other lesions, especially cutaneous abscesses. We report an illustrative case in which a teenage girl developed a red, swollen earlobe that required multiple care visits and interventions until definitive diagnosis and treatment were provided. Although the lesion was initially treated as an abscess, it continued to progress in size and discomfort. The correct diagnosis was established after imaging and complete excision with pathologic examination. Ultimately, our patient was subjected to avoidable procedures that carried the risk of potentially negative cosmetic sequelae before the proper intervention. Although abscesses are common, it is important for clinicians to avoid incision and drainage of lesions, unless the diagnosis is certain.<\/jats:p>","DOI":"10.1097\/pec.0000000000001809","type":"journal-article","created":{"date-parts":[[2019,3,25]],"date-time":"2019-03-25T02:50:53Z","timestamp":1553482253000},"page":"e1718-e1720","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Girl With the Bleeding Earlobe Mass"],"prefix":"10.1097","volume":"37","author":[{"given":"Mason","family":"Nistel","sequence":"first","affiliation":[{"name":"Cincinnati Children's Hospital Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sang Hoon","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayley","family":"Born","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John H.","family":"Greinwald","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maram","family":"Abdaljaleel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brad","family":"Sobolewski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2019,3,21]]},"reference":[{"key":"bib1-20250504","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1001\/archderm.1961.01580100070009","article-title":"Pilomatrixoma (calcifying epithelioma)","volume":"83","year":"1961","journal-title":"Arch Dermatol"},{"key":"bib2-20250504","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1001\/archderm.1973.01620250020004","article-title":"Pilomatrixoma (calcifying epithelioma). A statistical study","volume":"108","year":"1973","journal-title":"Arch Dermatol"},{"key":"bib3-20250504","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1542\/peds.72.2.147","article-title":"Superficial lumps in children: what, when, and why?","volume":"72","year":"1983","journal-title":"Pediatrics"},{"key":"bib4-20250504","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.ijporl.2016.03.026","article-title":"Review of pediatric head and neck pilomatrixoma","volume":"85","year":"2016","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"bib5-20250504","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1067\/mhn.2001.117371","article-title":"Pilomatrixoma of the head and neck in children","volume":"125","year":"2001","journal-title":"Otolaryngol Head Neck Surg"},{"key":"bib6-20250504","doi-asserted-by":"crossref","first-page":"1337","DOI":"10.1016\/j.ijporl.2014.05.023","article-title":"Characteristics of pilomatrixoma in children: a review of 137 patients","volume":"78","year":"2014","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"bib7-20250504","doi-asserted-by":"crossref","first-page":"182","DOI":"10.2214\/AJR.15.14842","article-title":"Pilomatricoma of childhood: a common pathologic diagnosis yet a rare radiologic one","volume":"206","year":"2016","journal-title":"Am J Roentgenol"},{"key":"bib8-20250504","doi-asserted-by":"crossref","first-page":"152","DOI":"10.4103\/0019-5154.94295","article-title":"Limits of fine-needle aspiration cytology in diagnosing pilomatrixoma: a series of 25 cases with clinico-pathologic correlations","volume":"57","year":"2012","journal-title":"Indian J Dermatol"},{"key":"bib9-20250504","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/j.annemergmed.2007.12.004","article-title":"Increased US emergency department visits for skin and soft tissue infections, and changes in antibiotic choices, during the emergence of community-associated methicillin-resistant Staphylococcus aureus","volume":"51","year":"2008","journal-title":"Ann Emerg Med"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000001809","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T20:04:21Z","timestamp":1746389061000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000001809"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,21]]},"references-count":9,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000001809","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"type":"electronic","value":"1535-1815"},{"type":"print","value":"0749-5161"}],"subject":[],"published":{"date-parts":[[2019,3,21]]}}}