Unusual Presentation of Nevus Lipomatosus Cutaneous Superficialis: A Rare Location of a Rare Diagnosis

TL;DR

A rare skin condition called nevus lipomatosus cutaneous superficialis was found on a patient's nose, a location where it is seldom seen.

Contribution

This case highlights the unusual presentation of a rare skin condition on the nose, expanding its differential diagnosis.

Findings

Nevus lipomatosus cutaneous superficialis was diagnosed in a 64-year-old man with lesions on his nose.

The condition is typically found on the lower body but can present in atypical locations like the nose.

Recognizing this rare entity is important for accurate diagnosis and management.

Abstract

The nose is a common site for many dermatological disorders and even skin cancers. Herein, we report a case of an elderly man who presented with papular lesions on his nose. A 64-year-old man presented with a cluster of four to five skin-colored papules on his nose for the last two years which were gradually increasing in size. He also had rhinophyma for the past 10 years. Routine investigations and histopathological examination were performed. On biopsy, it was revealed to be nevus lipomatosus cutaneous superficialis, a rare, benign hamartomatous anomaly found mostly in lower parts of the body like the buttocks and hence not usually considered a differential in such cases. It is essential to know about this rare entity as well as its atypical features to consider it as a differential diagnosis for such lesions on the nose.

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