The “bumpy” adolescent nose: Acne associated angiofibroma li
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Papular scars are a recently described clinical phenotype of acne scarring characterized by papules occurring on the nose and chin. A retrospective review of electronic medical records of patients with nasal papules in association with acne vulgaris was made. Clinical and histopathologic findings were recorded. 20 patients were identified who presented with a similar clinical phenotype were of predominantly skin-colored, dome-shaped papules concentrated on the nose and chin in association with a history of more classic facial acne vulgaris. Papular lesions were seen predominately in adolescent Hispanic males.

Concomitant acne on other areas of the face was identified in 18 patients at presentation while two patients had a history of adolescent acne. Biopsies were performed for five patients. Histopathologic examination demonstrated features of fibrosis and dilated thin walled blood vessels, typical of angiofibromas.

A series of adolescent patients was presented with large, flesh-colored erythematous papules seen predominantly on the nose. These lesions are histologically indistinguishable from angiofibromas and may represent an under-recognized yet disfiguring sequela of acne that may disproportionately affect adolescents with skin of color. Physical treatment modalities such as ablative laser or surgical removal seem to be the most efficacious.

source: https://onlinelibrary.wiley.com/doi/abs/10.1111/pde.14319
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