Persistent Red Bumps Near the Nose: Causes and Solutions - Dermatology

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I often get follicular-type acne near my nostrils?


I often develop multiple follicular acne lesions near my nostrils.
Previously, I received injections for acne from my doctor, but new lesions have since appeared.
Currently, the acne around my nostrils is not painful and does not have pus, but it remains swollen and red.
I am concerned that it might be developing into a granuloma.
Is this a possibility? If not, what could be causing this condition?

Chun Chun, 20~29 year old female. Ask Date: 2016/04/18

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to acne, you can refer to a series of articles on the Dermatology Expert Health website at http://www.drskincare.com.tw/Qa/Index.aspx?CID=4.
Simply relying on textual descriptions cannot accurately diagnose skin diseases.
It is possible that there is inflammation that has not completely resolved, or that the healing process of a wound has resulted in granulation tissue or fibrotic scar formation.
If your skin abnormalities persist, it is recommended that you return for a consultation with a dermatologist to confirm the diagnosis and treatment.
Thank you!

Reply Date: 2016/04/18

More Info


Understanding persistent red bumps near the nose can be concerning, especially when they appear after previous treatments like acne injections. The bumps you describe, particularly if they are red, swollen, and not painful or filled with pus, could be attributed to several potential causes.

1. Acne Vulgaris: The most common cause of red bumps around the nose is acne. Even after treatment, new lesions can form due to various factors such as hormonal changes, diet, or skin care products. Acne can manifest as papules (small red bumps) or pustules (bumps with pus). If the bumps are not painful and lack pus, they may be inflammatory acne lesions.

2. Folliculitis: This condition occurs when hair follicles become inflamed, often due to bacterial infection or irritation. It can present as red, swollen bumps that may resemble acne. Folliculitis can be triggered by shaving, wearing tight clothing, or using certain skin products.

3. Rosacea: This chronic skin condition often affects the face and can cause redness, visible blood vessels, and small red bumps. It can be exacerbated by factors such as sun exposure, hot beverages, spicy foods, and stress. If you notice flushing or persistent redness, rosacea could be a possibility.

4. Contact Dermatitis: If you have recently changed skin care products or come into contact with an irritant or allergen, you may develop contact dermatitis. This condition can cause red, itchy bumps and is often accompanied by swelling.

5. Granuloma: While less common, granulomas can form as a response to inflammation or injury. They are small, raised bumps that can be red and may feel firm. If you are concerned about the possibility of a granuloma, it is essential to consult a dermatologist for an accurate diagnosis.

6. Sebaceous Cysts: These are non-cancerous lumps beneath the skin that can occur when sebaceous glands become blocked. They can appear red and swollen if inflamed but are typically painless.


Solutions and Recommendations
- Consult a Dermatologist: Since you have already seen a doctor, it may be beneficial to follow up with a dermatologist who specializes in skin conditions. They can provide a thorough examination and may suggest treatments such as topical or oral medications, laser therapy, or other interventions based on the diagnosis.

- Avoid Picking or Squeezing: Manipulating the bumps can lead to further irritation or infection. It's best to leave them alone until you have a professional evaluation.

- Gentle Skin Care: Use non-comedogenic and gentle skin care products. Avoid harsh scrubs or exfoliants that can irritate the skin further.

- Topical Treatments: Depending on the diagnosis, your dermatologist may recommend topical treatments such as benzoyl peroxide, salicylic acid, or retinoids for acne. For rosacea, topical antibiotics or anti-inflammatory creams may be prescribed.

- Lifestyle Modifications: Pay attention to potential triggers such as diet, stress, and skincare products. Keeping a diary of flare-ups can help identify patterns and triggers.

- Follow-Up Treatments: If you have previously received injections for acne, discuss with your dermatologist the possibility of alternative treatments or follow-up care to manage new breakouts effectively.

In summary, while the persistent red bumps near your nose could be due to various causes, a proper diagnosis from a healthcare professional is crucial for effective treatment. By following up with a dermatologist and adhering to recommended skin care practices, you can work towards resolving the issue and preventing future occurrences.

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