Fibrous_papule_of_the_nose

Fibrous papule of the nose

Fibrous papule of the nose

Medical condition


Fibrous papule of the nose is a harmless small bump on or near the nose. It is typically dome-shaped, skin-colored, white or reddish, smooth and firm.[1][2]Less frequently it can occur elsewhere on the face.[3] Sometimes there are a few.[1] It may be shiny and remains unchanged for life. There may be a central hair.[3]

Quick Facts Other names, Specialty ...

The precise cause is unknown.[3] It is a type of angiofibroma which originates in a dendrocyte in skin.[4]

It is common, usually appearing in young adults and then remaining permanent.[2][4]

Diagnosis and treatment

Diagnosis is by visualisation, skin biopsy or histopathology of one that has been surgically cut out.[2] Histopathology shows fibroblasts, fibrotic stroma, and large blood vessels.[3] It can appear similar to a benign melanocytic naevus or an early BCC.[2] It may be mistaken for a nevocytic nevus, neurofibroma, and pyogenic granuloma. The presence of several should alert to seeking for other signs of tuberous sclerosis.[1]

Usually no treatment is necessary. Treatments for cosmetic reasons include shave excision[2] and electrosurgery.[3] Following treatment, recurrence is rare.[1]

See also


References

  1. James, William D.; Elston, Dirk; Treat, James R.; Rosenbach, Misha A.; Neuhaus, Isaac (2020). "28. Dermal and subcutaneous tumors". Andrews' Diseases of the Skin: Clinical Dermatology (13th ed.). Elsevier. pp. 615–616. ISBN 978-0-323-54753-6.
  2. "Fibrous papule". Primary Care Dermatology Society. Retrieved 18 October 2021.
  3. "Fibrous papule of the nose | DermNet NZ". dermnetnz.org. Retrieved 18 October 2021.
  4. Damman, Jeffrey; Biswas, Asok (August 2018). "Fibrous Papule: A Histopathologic Review". The American Journal of Dermatopathology. 40 (8): 551–560. doi:10.1097/DAD.0000000000001083. ISSN 0193-1091. PMID 30028760. S2CID 51705587.

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