Persistent Bump on Nose: Acne or Something More Serious?

A bump on the nose that does not go away?

Hello Doctor, about a week before my last menstrual period, I developed a bump on my nose that looked like a large pimple.
I initially thought it was a hormonal acne, but now that my period has ended and it's been almost two weeks, the bump has not gone away.
It is approximately 0.5 cm in size, appears red and swollen, and has not formed a head, meaning it has been there for about a month.
In the past, my hormonal acne would usually resolve within one to two weeks.
I would like to ask: 1.
Is this a pimple, or could it be something else like a skin tumor? 2.
Should I see a dermatologist for medication, or should I go to a surgeon for an examination? Thank you for your response.

Sang, 20~29 year old female. Ask Date: 2024/02/22

Dr. Wu Yuxin reply Dermatology

Online diagnosis is not possible; it is recommended to consult a nearby dermatologist for treatment.

Reply Date: 2024/02/22

More Info

When it comes to a persistent bump on the nose that resembles a pimple but does not resolve over time, it is essential to consider several factors to determine the nature of the bump and the appropriate course of action.
1. Is it acne or something more serious?
The description of a red, swollen bump that has persisted for over a month raises some concerns beyond typical acne. While hormonal fluctuations can lead to acne breakouts, especially around the menstrual cycle, a lesion that does not resolve within a couple of weeks may indicate a different issue. It could be a cyst, a type of benign tumor, or even a condition like rosacea or folliculitis. In some cases, it could be a more serious condition, such as a basal cell carcinoma or squamous cell carcinoma, especially if there are changes in color, size, or texture.

2. Should you see a dermatologist or a surgeon?
Given the duration and characteristics of the bump, it is advisable to consult a dermatologist first. Dermatologists specialize in skin conditions and can provide a thorough examination. They may perform a visual assessment and, if necessary, a biopsy to determine the nature of the bump. If the bump is determined to be a cyst or requires surgical removal, the dermatologist can refer you to a surgeon or perform the procedure themselves.

Additional Considerations:
- Self-Examination: Before your appointment, take note of any changes in the bump, such as increased redness, pain, or drainage. Documenting these changes can provide valuable information to your healthcare provider.

- Avoid Picking or Squeezing: It is crucial not to manipulate the bump, as this can lead to infection or scarring.

- Treatment Options: If the bump is diagnosed as acne, treatment may include topical retinoids, benzoyl peroxide, or antibiotics. If it is a cyst, options may include drainage or excision. For other skin conditions, specific treatments will be recommended based on the diagnosis.

- Follow-Up: If the bump does not improve with treatment or if you notice any new symptoms, follow up with your healthcare provider promptly.

In summary, while it may initially appear to be a simple acne lesion, the persistence of the bump warrants a professional evaluation to rule out any serious conditions. A dermatologist is the best point of contact for an accurate diagnosis and appropriate treatment plan.

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