Angiofibroma (Fibrous Papule of the Nose)

Fibrous Papule

Overview

An angiofibroma, commonly referred to as a fibrous papule of the nose, is a small, benign, dome-shaped papule that typically appears on or near the nose. It is composed of fibrous tissue and blood vessels. It is usually a solitary, skin-colored to pink firm bump that is often mistaken for a basal cell carcinoma or intradermal nevus, prompting biopsy for definitive diagnosis.

Key Symptoms

• Small (2-6 mm), firm, dome-shaped papule
• Skin-colored, pink, or slightly red appearance
• Most commonly located on the nose, especially the ala or tip
• Solitary lesion that is usually painless
• Smooth, shiny surface
• Does not change significantly over time once developed

Affected Areas

Nose (most common), Face, Chin, Cheeks

Care Instructions

1. No treatment is required since fibrous papules are completely benign.
2. A shave biopsy may be performed to confirm the diagnosis and rule out skin cancer.
3. If removed for cosmetic reasons, shave excision, electrodesiccation, or laser treatment are options.
4. The lesion does not recur after complete removal.
5. See a dermatologist if the lesion changes, bleeds, or grows to rule out other diagnoses.
6. No follow-up is needed once the diagnosis is confirmed.

Medical Disclaimer: This information is for educational purposes only and does not replace professional medical advice. Always consult a qualified dermatologist for diagnosis and treatment.

Prevalence: Common; frequently encountered benign lesion in adults