A young female developed persistent nodules at sites of ear piercing w
ith gold earrings and patch testing demonstrated a positive allergic r
esponse to gold sodium thiosulphate. Histological examination of the n
odules demonstrated a prominent sarcoidal-type granulomatous tissue re
action. This is in contrast to previous reports of lymphocytoma cutis
type histology and was associated with the occurrence of epithelioid g
ranulomata at the site of a strongly positive and long-lasting patch-t
est reaction.