Suggest Treatment For Persistent Spot On The Nose

Posted on Tue, 14 Jun 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 14 Jun 2016 Answered on

Mon, 11 Jul 2016 Last reviewed on

Question : Hi, my bf has a very weird spot on his nose for several months and it doesn't go away. He went to gp and he gave him fucibet cream but it doesn't go away at all. Doctor said that it looks like hit and my bf thinks he did hit a door months ago - not sure but it's there for several months.any idea? Attaching pictures.could dermatologist please answer?

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
I suggest him to use a topical tretinoin cream

Detailed Answer:
Hello. Thank you for writing to us

I am dr.kakkar(dermatoologist). I have gone through your query and I have also reviewed the Image.

I can see a raised, red spot with few surrounding telangiectasias, which is probably due to skin atrophy due to long term steroid use.
It really seems like a non-inflammatory acne/ comedone lesion to me and steroid cream would certainly not resolve it.
I suggest him to use a topical retinoid e.g tretinoin 0.025% cream (Retin- A), once daily at night for a few weeks. Tretinoin is comedolytic and would help resolve it.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (10 minutes later)

Thx, he i using that cream a week only. And its not really looks like acne to me. Its nothing to squize or anything. Acne lasting months? A single spot? Anyway will try. Thx

Answered by Dr. Dr. Kakkar (14 hours later)

Brief Answer:
Tretinoin 0.025% cream

Detailed Answer:
Hi.

Yes, an acne lesion, specially if its non-inflammatory can last months, more so if its growth is arrested by steroid application.
Retin-A is worth a try.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar