Fibrous papule of the nose is a harmless small

bump Bump or Bumps may refer to: * A collision or impact * A raised protrusion on the skin such as a pimple, goose bump, prayer bump, lie bumps, etc. Infrastructure and industry * Coal mine bump, a seismic jolt occurring within a mine * Bump (u ...

on or near the nose. It is typically dome-shaped, skin-colored, white or reddish, smooth and firm. Less frequently it can occur elsewhere on the face. Sometimes there are a few. It may be shiny and remains unchanged for life. There may be a central hair. The precise cause is unknown. It is a type of

angiofibroma Angiofibroma (AGF) is a descriptive term for a wide range of benign skin or mucous membrane (i.e. the outer membrane lining body cavities such as the mouth and nose) lesions in which individuals have: 1) benign papules, i.e. pinhead-sized elevation ...

which originates in a dendrocyte in skin. Diagnosis is by visualisation,

skin biopsy Skin biopsy is a biopsy technique in which a skin lesion is removed to be sent to a pathologist to render a microscopic diagnosis. It is usually done under local anesthetic in a physician's office, and results are often available in 4 to 10 days. ...

or histopathology of one that has been surgically cut out. Histopathology shows

fibroblasts A fibroblast is a type of biological cell that synthesizes the extracellular matrix and collagen, produces the structural framework ( stroma) for animal tissues, and plays a critical role in wound healing. Fibroblasts are the most common cells ...

, fibrotic stroma and large blood vessels. It can appear similar to a benign melanocytic naevus or an early BCC. It may be mistaken for a nevocytic nevus,

neurofibroma A neurofibroma is a benign nerve-sheath tumor in the peripheral nervous system. In 90% of cases, they are found as stand-alone tumors (solitary neurofibroma, solitary nerve sheath tumor or sporadic neurofibroma), while the remainder are found in p ...

and

pyogenic granuloma A pyogenic granuloma or lobular capillary hemangioma is a vascular tumor that occurs on both mucosa and skin, and appears as an overgrowth of tissue due to irritation, physical trauma, or hormonal factors. It is often found to involve the gums ...

. The presence of several should alert to seeking for other signs of tuberous sclerosis. Usually no treatment is necessary. Treatment for cosmetic reasons include shave excision, and

electrosurgery Electrosurgery is the application of a high-frequency (radio frequency) alternating polarity, electrical current to biological tissue as a means to cut, coagulate, desiccate, or fulgurate tissue.Hainer BL, "Fundamentals of electrosurgery", ''J ...

. Following treatment, recurrence is rare. It is common, usually appearing in young adults and then remaining permanent.

References

{{Dermal-growth-stub Dermal and subcutaneous growths

See also

References