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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 2337 - 31 May 2019 Posted By: Dr. Richard Carr

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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F60. Bridge of nose. 1 year. Bleeds. ?fibrous papule, r/o BCC


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IgorSC

Posted

Fibrous papule associated with fatty metaplasia.

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Krishnakumar subramanian

Posted

angiofibroma/fibrous papule

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Alex-Ventura-Leon

Posted

Agree. Angiofibroma/Fibrous papule with lichenification

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is there a component of spindle cell lipoma?

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Mohamed khaled

Posted

yes, I agree with fibrous papule of the nose. 

My concern is regarding the fatty material. Is there history of trauma, injection ....?

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vincenzo

Posted

There is a newly described lesion called Dendritic Fibromyxolipoma, but I Like to think of a fibrous papule, as my Colleagues. 

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Dr. Richard Carr

Posted

I called this fibrous papule with unusually prominent adipocytes. I have not seen this before and it is not mentioned in a review by Asok Biswas (Edinburgh)

 

Am J Dermatopathol. 2018 Aug;40(8):551-560. doi: 10.1097/DAD.0000000000001083.

Fibrous Papule: A Histopathologic Review.

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