NOSE

By Gary M. White, MD

The nose gets a lot of sun. Per surface area, it is the most likely real estate to get a basal cell carcinoma. Rough, painful actinic keratoses commonly occur here too. Acneiform rosacea loves the nose. And of course, the solitary, red or pink papule--fibrous papules of the nose--is common.

Congenital Nodule/Pit

Dermoid Cyst

Encephalocele

Nasal Glioma
Nasal Glioma

Median Nasal Dermoid Fistula. See below.

Enlarged

Rhinophyma
Rhinophyma

Pseudorhinophyma. The nose can become slightly edematous by the pressure of glasses.

Rhinoscleroma

Mucocutaneous Leishmaniasis, American

Hyperkeratotic

Actinic Keratosis
Actinic Keratosis

Hypertrichosis

Median Nasal Dermoid Fistula
Median Nasal Dermoid Fistula

Linear

Transverse Nasal Groove
Transverse Nasal Groove Transverse Nasal Groove

Mutilated

Centrofacial Malignant Granuloma

Gangosa

Trigeminal Trophic Syndrome

Cancrum Oris

Espundia

Necrotic

Rhino-orbital-cerebral mucormycosis. For a picture, see The Internet Journal of Ophthalmology 2008;10;1

Papule

Basal Cell Carcinoma
Basal Cell Carcinoma of the Nose

Fibrous Papule
Fibrous Papule

Epidermal Inclusion Cyst
Epidermal Inclusion Cyst of the Nose

Papules

Periorificial Dermatitis
periorificial dermatitis

Lupus Pernio
Lupus Pernio

Pigmented

Spreading Pigmented Actinic Keratosis

Lentigo

Freckles

Pigmented BCC
Pigmented Basal Cell Carcinoma of the Nose

Pores

Some people do not like the size of their pores. The nose, below, looks pretty normal for a 52-year-old man.
Nose Pores

Red

Granulosis Rubra Nasi

Acrodynia (Mercury poisoning)

Rosacea: Significant redness and pimples on the nose and cheeks are typical.
Rosacea of the Nose and Cheeks

The Rudolph sign: A red nose from nasal vestibular furunculosis.

Red, Scaly

Bazex Syndrome

Seborrheic Dermatitis. Usually occurs at the corners of the nose as shown here.
Seborrheic Dermatitis

Sunburn. Prevention, with the use of sunscreen, is key!

Sweating (and Redness)

Granulosis Rubra Nasi

Telangiectasias

Facial Telangiectasias

Vesicles

Herpes Zoster Ophthalmicus
Herpes Zoster Ophthalmicus

White

Sebaceous Worms
Sebaceous Worms

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