Fibrous papule of the nose

From WikiProjectMed
Jump to navigation Jump to search
Fibrous papule of the nose
Other names: Benign solitary fibrous papule, fibrous papule of the face[1]
Fibrous papule of the nose
SymptomsPersistent, usually solitary, unchanging, small, shiny, smooth, firm bump on or near nose[1]
Usual onsetYoung adult[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]

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


  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 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. 2.00 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10 2.11 "Fibrous papule". Primary Care Dermatology Society. Archived from the original on 30 December 2019. Retrieved 18 October 2021.
  3. 3.0 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 "Fibrous papule of the nose | DermNet NZ". Archived from the original on 12 August 2021. Retrieved 18 October 2021.
  4. 4.0 4.1 4.2 4.3 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.