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Fibrous papule of the nose
Medical condition From Wikipedia, the free encyclopedia
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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]
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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]
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See also
References
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