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What Do Sore Bumps On Nose Indicate?

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Posted on Sat, 10 Jan 2015
Question: I usually have a perfect complexion. Recently, I have developed these very sore small bumps on and around my nose. If I break the skin on these bumpy areas, they drain serous material, not pus. Additionally, the skin in the crease of my nose (in close proximity to the bumps I have described) is very flaky. I am an anesthetist and work with patients who have MRSA nearly every day. Because MRSA lives in the nares, I am wondering if that is the cause of my problem. It clears up if apply 1% hydrocortisone cream but in a few days time (or even sooner) I get more bumps. Do you think MRSA in my nares would cause this (I have not been tested).
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Answered by Dr. Sanjay Kumar Kanodia (58 minutes later)
Brief Answer:
"Dyssebacia"; There is no correlation of MRSA in your case. Relax for same.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for the sore small bumps on and around nose with flaky appearance of the crease of the nose.

After analyzing the pictures with diligence and correlating with your histiry I can make out the condition is mild form "Seborrheic dermatitis" or "dyssebacia".

To tell you medically regarding "dyssebacia"- it is mild inflammation of of the sebaceous glands (oil glands) to cause eruptions, mild to moderate scaling and flaking with redness and itching of variable degree. It basically involves the area around nose and nasolabial folds and surrounding skin on cheeks.

There are multiple factors causing the problem including dietary (nutritional or lack of proper nutrients), environmental including sun light with fungus as main aggravating factors.

There is no correlation of MRSA in your case, so just relax about this part. Even then I suggest you to maintain good hygiene practice during handling of patients.

In my patients with your kind of condition I prefer to use a mild steroid preparation such as desonide lotion (rather than hydrocortisone) for once a day for 7 days. Once the redness an itching is reduced then I shift my patients on plane anti-fungal cream such as ketoconazole 2 % cream. Both these preparations should be applied in a very thin layer so that it should not be visible to the naked eye.

For itching I prefer to give a simple tablet of loratadine for one to two times a day after meals.

Proper scalp wash with anti-fungal shampoo help in reducing the propensity of recurrence.

A sun protection is must to take care of sun aggravation and redness.

I prefer to suggest a good diet to my patients with lots of fruits and green vegetables on daily basis. It helps in good regeneration power of skin and reduces the chances of nutritional factors as contributing cause.

I hope the above information will help you. If you have further queries I will be happy to help.

"Wish you good health"

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sanjay Kumar Kanodia

Dermatologist

Practicing since :2002

Answered : 4165 Questions

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What Do Sore Bumps On Nose Indicate?

Brief Answer: "Dyssebacia"; There is no correlation of MRSA in your case. Relax for same. Detailed Answer: Hello, Welcome and thanks for posting your query to the forum. I can understand your concern for the sore small bumps on and around nose with flaky appearance of the crease of the nose. After analyzing the pictures with diligence and correlating with your histiry I can make out the condition is mild form "Seborrheic dermatitis" or "dyssebacia". To tell you medically regarding "dyssebacia"- it is mild inflammation of of the sebaceous glands (oil glands) to cause eruptions, mild to moderate scaling and flaking with redness and itching of variable degree. It basically involves the area around nose and nasolabial folds and surrounding skin on cheeks. There are multiple factors causing the problem including dietary (nutritional or lack of proper nutrients), environmental including sun light with fungus as main aggravating factors. There is no correlation of MRSA in your case, so just relax about this part. Even then I suggest you to maintain good hygiene practice during handling of patients. In my patients with your kind of condition I prefer to use a mild steroid preparation such as desonide lotion (rather than hydrocortisone) for once a day for 7 days. Once the redness an itching is reduced then I shift my patients on plane anti-fungal cream such as ketoconazole 2 % cream. Both these preparations should be applied in a very thin layer so that it should not be visible to the naked eye. For itching I prefer to give a simple tablet of loratadine for one to two times a day after meals. Proper scalp wash with anti-fungal shampoo help in reducing the propensity of recurrence. A sun protection is must to take care of sun aggravation and redness. I prefer to suggest a good diet to my patients with lots of fruits and green vegetables on daily basis. It helps in good regeneration power of skin and reduces the chances of nutritional factors as contributing cause. I hope the above information will help you. If you have further queries I will be happy to help. "Wish you good health" Regards, Dr Sanjay Kumar Kanodia MD (Dermatology)