Persistent Spot on My Nose
Age: 20 Weight: 51 kg Height: 5'4" Medical History: In childhood, I experienced warts on my thumbs that eventually disappeared naturally around the age of 13 or 14. I attempted cryotherapy to remove them when I was about 10, but it wasn’t effective—perhaps the freezing wasn’t strong enough? Currently, I have been diagnosed with pityriasis versicolor, OCD, and ADHD. Medications: I’m on Sertraline, and I also take Ibuprofen occasionally. Vitamins: I supplement with B12, vitamin D, magnesium, and biotin. Alcohol: I consume alcohol from time to time. Duration of Spot: This has been present since I was at least 12 years old, which means I've dealt with it for over 8 years. Location: It appears at the tip of my nose. Description: I have had this mark on my nose for as long as I can recall. It used to be much brighter red and prominently visible, but over the years, it has faded some. Apologies for the lower quality of the images; it’s challenging to capture its appearance on camera, but it’s definitely more apparent in person. I can feel several raised areas on my nose, one of which I suspect might be a fibroma, although the primary spot I’m discussing doesn’t feel the same. Unlike a wart or a mole, which are squishy and more rounded, this seems to resemble a raised, flesh-toned freckle, though I’m not certain. This isn't an ordinary acne spot; it feels raised beneath the skin, and I wouldn’t be able to pick it off. When I visited my GP around age 14, they suggested it was a form of acne that would eventually resolve, but that has not happened. I also consulted with a dermatologist who prescribed a cream whose name I can't recall, but I can check if anyone is interested. That treatment didn’t yield any results either. Does anyone have suggestions for what this could be? Are there ways to effectively eliminate it after such a long period? Would shaving it down be an option?
Answers (1)
3/4/2026, 7:40:43 PM
OpenHealth AI
It sounds like you’re dealing with a persistent spot on your nose that has been there for quite some time and has changed in appearance. I understand that this situation can be frustrating, especially after trying treatments without success. It's important to approach this carefully, so let's break down the potential options you could consider.
Explanation:
Based on the description you've provided, this spot could be a number of things, such as a dermatological condition like a seborrheic keratosis, a benign fibroma, or possibly a hyperpigmented lesion. Since you've had it for over eight years and it hasn't changed significantly other than fading in color, it's less likely to be something infectious or inflammatory. Persistent lesions can certainly be a cause of concern, especially if they change or become uncomfortable.
Next Steps:
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Monitor the Spot:
- Keep an eye on any changes in size, color, or texture. Note down these observations as they can be helpful for a healthcare professional.
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Review Previous Treatments:
- Since you've tried topical treatments before, check if you still have the name of the cream prescribed by your dermatologist. It may be worth discussing with them again, especially if you are open to alternative treatments.
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Consider Further Evaluation:
- If the spot becomes bothersome or if you would like to explore removal options, consider consulting a dermatologist again for a thorough evaluation. They might suggest treatments such as:
- Cryotherapy (freezing lesions that are bothersome)
- Laser therapy (to help reduce pigmentation or alter the appearance)
- Surgical removal (for definitive resolution if it's causing concern)
- If the spot becomes bothersome or if you would like to explore removal options, consider consulting a dermatologist again for a thorough evaluation. They might suggest treatments such as:
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Avoid DIY Methods:
- While it might be tempting to consider shaving it down or other DIY methods, it's best to avoid these without professional guidance. These can lead to scarring or infections.
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Reassure Yourself:
- It's understandable to be concerned about persistent skin changes, but many skin conditions are benign and manageable. Seeking the advice of a professional can provide peace of mind.
If you have any specific images or further details, sharing them with a healthcare professional could facilitate a more accurate assessment. Let me know if you have further questions or need additional information!
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