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What does a sand like hard pice on ears indicate?

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Posted on Mon, 30 Jun 2014
Question: My friend has being battling with a condition where he feels he has shards of nail coming out of his skin. On one occasion I witnessed him pull a round hard piece off his upper ear, it was about 5 times bigger than a grain of sand, hard, and translucent. He has been to 4 doctors (2 Dermatologists) they mostly think his is suffering a "delusion of nails growing out of his skin". He tells the doctors he has to "open up the area to get rid of this layer he feels is soft nail" and they are ready to call the guys in white coats. My feeling is he should have the right to at least order a DNA test to insure there is not a gene mutation that could cause a situation such as his. At least we would know what it isn't and may relieve him of some of the anxiety he has been experiencing. Today he told me when he scratched around his eyes a liquid came out. (plasma??) Lastly his scabs from scratching appear to heal completely in 4 to 5 days.
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Answered by Dr. T Chandrakant (33 minutes later)
Brief Answer:
Epithelial pearls

Detailed Answer:
Hi.
Thanks for your query and an elucidate history.

This condition is called formation of epithelial pearls or Keratin pearls.
This is a benign condition with no known definite treatment in medical history.
This is not a mutation or genetic disorder.
Nothing to fear about.
Anti-oxidants in the form of Multi-vitamins may help to an extent in a some cases.

Reassure your friend.
Yes this is not a common disorder , hence does create a confusion.
Please ask him to discuss with His Dermatologists.
I hopw I have cleared your doubts , feel free to communicate if necessary.
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. T Chandrakant (32 minutes later)
Thank you. He saw his Primary care provider today and the only thing he wanted is for him to go to a psychiatrist as far as any tests he basically got stonewalled. the needles and pins sensation all over is body is a real concern to him and he feels like his days are numbered. I will pass along you information about the pearls. You think vitamin B12 may help with the itching so he doesn't continue to dig at himself? He really feels the is a tough layer of skin growing over his entire body. could these symptoms be associated with parasthesia?
doctor
Answered by Dr. T Chandrakant (21 minutes later)
Brief Answer:
Psychiatrist's opinion helps

Detailed Answer:
Hi,

Thanks for your feedback.

Psychiatrists evaluation and counselling and treatment may help him to deal with the the other aspect of the problem like pins and needles all over the body and feeling of his days are numbered. This is the correct step.

Parasthesia all over the body is very uncommon with any medical disorder.

What deficiency causes this is not known , so I talked about multi-vitamins, Which may help.

regards,



Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. T Chandrakant (2 hours later)
Thanks for the follow up and advise. My friend is here now and he is positive that he has multiple nails growing out of the same nail bed and the toenail is growing into his body. He feels that this is contaminating or changing the texture of his skin over his entire body. He saw recently on the internet (bet you get tired of hearing that) about a decease that causes hair follicles to grow nail. He was hoping for a DNA test that could prove to him he doesn't have this decease. Thanks for your help
doctor
Answered by Dr. T Chandrakant (5 hours later)
Brief Answer:
Help him finding a center.

Detailed Answer:
Belief or disbelief- who can really help?
I hope as a friend you must be helping him a lot. Help him not to believe in disbelief.
Yes, you can help him more to find one center which can conduct DNA testing. The final report will help him a lot.

Regards
Above answer was peer-reviewed by : Dr. Prasad
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19103 Questions

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What does a sand like hard pice on ears indicate?

Brief Answer: Epithelial pearls Detailed Answer: Hi. Thanks for your query and an elucidate history. This condition is called formation of epithelial pearls or Keratin pearls. This is a benign condition with no known definite treatment in medical history. This is not a mutation or genetic disorder. Nothing to fear about. Anti-oxidants in the form of Multi-vitamins may help to an extent in a some cases. Reassure your friend. Yes this is not a common disorder , hence does create a confusion. Please ask him to discuss with His Dermatologists. I hopw I have cleared your doubts , feel free to communicate if necessary.