The excisional biopsy specimen revealed a normal-appearing epidermis. Within the deep dermis, there were several irregularly demarcated areas of fibrinoid degeneration of the collagen surrounded by a proliferation of histiocytes in a palisaded arrangement. In the surrounding stroma, there were mild fibroplasia, dilated blood vessels, and a mild chronic inflammatory infiltrate.
The nasal bridge lesions were removed by excisional surgery. The wound was repaired with bilateral advancement flaps, with excellent cosmesis. The patient also had rheumatoid nodules on the left buttock and left elbow. The buttock lesion became very inflamed and painful and was also treated with excisional surgery, with good results.
Symmetrical Nasal Bridge Nodules. Arch Dermatol. 2001;137(12):1647-1652. doi: