| Fibrous papule of the nose | |
|---|---|
| Other names | Benign solitary fibrous papule, fibrous papule of the face [1] |
 | |
| Fibrous papule of the nose | |
| Specialty | Dermatology |
| Symptoms | Persistent, usually solitary, unchanging, small, shiny, smooth, firm bump on or near nose [1] |
| Usual onset | Young adult [2] |
| Duration | Permanent [2] |
| Causes | Unknown, [3] originates in dermal dendrocyte [4] |
| Diagnostic method | Appearance, skin biopsy, histopathology [3] |
| Differential diagnosis | Benign melanocytic naevus, early BCC [2] |
| Treatment | Usually none, shave excision, [2] electrosurgery [3] |
| Prognosis | Harmless, longlasting, [2] recurrence rare [1] |
| Frequency | Common [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]
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
- ^ a b c d e f g 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.
- ^ a b c d e f g h i j "Fibrous papule". Primary Care Dermatology Society. Retrieved 18 October 2021.
- ^ a b c d e f g h "Fibrous papule of the nose | DermNet NZ". dermnetnz.org. Retrieved 18 October 2021.
- ^ a b c d 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.