Fibrous Papule

Key Points
Skin condition most commonly affecting the nose
Exact cause is unknown
Consists of a small, shiny bump, which is firm and may have a hair at its center

Fibrous papules are small firm bumps most commonly found on the nose. They are often flesh colored, and may appear less commonly on other areas of the face. Papules will remain unchanged over the lifetime of the affected person.

Differential Diagnosis (Other conditions with similar appearance)

Adnexal tumor
Angioma
Melanocytic nevus
Pyogenic granuloma
Small Basal cell carcinoma

Diagnosis
Key Points
Initial diagnosis based on appearance of the lesion
Biopsy will be performed to confirm diagnosis and rule out similar-appearing conditions

Fibrous papules are initially diagnosed based on the appearance of the lesion. A biopsy will be performed to confirm diagnosis and rule out similar-appearing malignant conditions.

Treatment
Does not require treatment
*May be removed for cosmetic reasons

As fibrous papules are harmless, no treatment of the lesion or affected area is required. The lesion may be removed by surgical means (excision, shaving or electrosurgery) if the affected person desires its removal due to cosmetic concerns.