Fibrous papule of the nose

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Fibrous papule of the nose
Other namesBenign solitary fibrous papule, fibrous papule of the face [1]
Fibrous papule of the nose 01.jpg
Fibrous papule of the nose
Specialty Dermatology
Symptoms Persistent, usually solitary, unchanging, small, shiny, smooth, firm bump on or near nose [1]
Usual onsetYoung adult [2]
DurationPermanent [2]
CausesUnknown, [3] originates in dermal dendrocyte [4]
Diagnostic method Appearance, skin biopsy, histopathology [3]
Differential diagnosis Benign melanocytic naevus, early BCC [2]
TreatmentUsually none, shave excision, [2] electrosurgery [3]
Prognosis Harmless, longlasting, [2] recurrence rare [1]
FrequencyCommon [4]

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]

Contents

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

Related Research Articles

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References

  1. 1 2 3 4 5 6 7 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. 1 2 3 4 5 6 7 8 9 10 "Fibrous papule". Primary Care Dermatology Society. Retrieved 18 October 2021.
  3. 1 2 3 4 5 6 7 8 "Fibrous papule of the nose | DermNet NZ". dermnetnz.org. Retrieved 18 October 2021.
  4. 1 2 3 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.