A fibrous papule of the nose is a common, benign skin growth. It appears as a firm, solitary bump locatedon or near the nose and has a distinctive appearance when examined microscopically. This lesion may also be referred to as a fibrous papule of the face, solitary angiofibroma, or sporadic angiofibroma. Fibrous papules are non-cancerous skin growths that typically develop with age. Most individuals have either one or two lesions. When viewed microscopically, these papules are composed of collagen and blood vessels. Fibrous papules are not cancerous and do not become cancerous.

Fibrous papules are quite common and can affect individuals of all ages, typically appearing in late adolescence or early adulthood. It is possible to have multiple fibrous papules without any related health issues. However, an abundance of these lesions may indicate genetic conditions such as tuberous sclerosis, Birt-Hogg-Dubé.

In association with tuberous sclerosis complex (TSC) facial angiofibromas are commonly seen in around 80% cases. Full syndrome includes skin lesions, learning difficulties and epilepsy with an onset before 5 years of age. Thus, early diagnosis of tuberous sclerosis complex (TSC) is essential for effective management, aiming to prevent or delay systemic manifestations of the disease and thereby reduce mortality and morbidity rates. This is particularly important even in mild or asymptomatic cases, as individuals should be informed about the potential risk of passing the condition to their children. Additionally, recognising facial angiofibromas (FAs) is crucial, as they can indicate an undiagnosed case of TSC.