fibrous papule of the nose fibrous papule of the nose 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. 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. fibrous papule of the noseother namesbenign solitary fibrous papule, fibrous papule of the facefibrous papule of the nosespecialtydermatologysymptomspersistent, usually solitary, unchanging, small, shiny, smooth, firm bump on or near noseusual onsetyoung adultdurationpermanentcausesunknown, originates in dermal dendrocytediagnostic methodappearance, skin biopsy, histopathologydifferential diagnosisbenign melanocytic naevus, early bcctreatmentusually none, shave excision, electrosurgeryprognosisharmless, longlasting, recurrence rarefrequencycommon the precise cause is unknown. it is a type of angiofibroma which originates in a dendrocyte in skin. diagnosis is by visualisation, skin biopsy or histopathology of one that has been surgically cut out. histopathology shows fibroblasts, 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, and pyogenic granuloma. the presence of several should alert to seeking for other signs of tuberous sclerosis. usually no treatment is necessary. treatments for cosmetic reasons include shave excision and electrosurgery. following treatment, recurrence is rare. it is common, usually appearing in young adults and then remaining permanent.