Fibrous papule of the nose

Fibrous papule of the nose
Other names: Benign solitary fibrous papule, fibrous papule of the face[1]
Fibrous papule of the nose
SpecialtyDermatology
SymptomsPersistent, 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 methodAppearance, skin biopsy, histopathology[3]
Differential diagnosisBenign melanocytic naevus, early BCC[2]
TreatmentUsually none, shave excision,[2] electrosurgery[3]
PrognosisHarmless, longlasting,[2] recurrence rare[1]
FrequencyCommon[4]

Fibrous papule of the nose is a type of harmless angiofibroma that presents as a small bump on or near the nose.[1][2][5] 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.[3] 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]

Diagnosis is by visualisation, skin biopsy or histopathology of one that has been surgically cut out.[2][3] 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.[1] The presence of several should alert to seeking for other signs of tuberous sclerosis.[1] Usually no treatment is necessary.[2] Treatment for cosmetic reasons include shave excision,[2] and electrosurgery.[3] Following treatment, recurrence is rare.[1]

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

Signs and symptoms

See also

References

  1. 1 2 3 4 5 6 7 8 9 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. Archived from the original on 2023-05-01. Retrieved 2023-04-30.
  2. 1 2 3 4 5 6 7 8 9 10 11 12 "Fibrous papule". Primary Care Dermatology Society. Archived from the original on 30 December 2019. Retrieved 18 October 2021.
  3. 1 2 3 4 5 6 7 8 9 10 "Fibrous papule of the nose | DermNet NZ". dermnetnz.org. Archived from the original on 12 August 2021. 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. Archived from the original on 2021-10-18. Retrieved 2021-10-18.
  5. ↑ Macri, Angela; Kwan, Eddie; Tanner, Laura S. (2021). "Cutaneous Angiofibroma". StatPearls. StatPearls Publishing. Archived from the original on 2023-04-27. Retrieved 2023-04-29.
This article is issued from Offline. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.