HomeAnswersDermatologyrosaceaHow to cure the flake on the top of my nose?

What is the reason for a flake on the top of my nose?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At December 21, 2021
Reviewed AtSeptember 6, 2023

Patient's Query

Hi doctor,

On the top part of my nose just where the bone meets cartilage there is a spot of skin. Every two weeks it grows a single flake. It is hard and crusty. It gets picked off or falls off on its own. I noticed it when I run my finger over it. I thought it was psoriasis (because I had psoriasis my whole life). But when I pick it off, the skin underneath is completely normal. When psoriasis is there, it is raised, sandpaper like and very crusty and has redness. When I pick off this hard little flake, there is nothing underneath. The skin remains smooth and clear for like two to three weeks. Then I will forget about it and sooner or later, it returns again. I get dermatitis on my nose frequently, but it is usually not so stuck to the skin like this little flake. I am attaching an image for your reference but right now the skin is normal. I have no idea why this keeps coming back or if it will come back again. Kindly help.


Welcome to icliniq.com.

It is an erythematotelangiectatic type of rosacea, in which redness occurs on the nose (tendency to flare). Rosacea is a skin disorder that affects people above 30 years. Is it burning on exposure to the sun? I would suggest the following. Apply 1 percent Metronidazole (antibiotic) gel at night for 15 days. Apply sunscreen (photostable sunscreen daily at 9 AM, 12 PM, 3 PM for two months), and sun protection is necessary. Do not apply harsh products to the skin. Avoid triggers like stress, alcohol consumption, exercise, spicy foods, hot beverages, coffee, sun. Take the tablet Zinc acetate (nutritional supplement) one tablet daily after dinner for 15 days. Use Tacrolimus (immunosupressive drug) 0.1 percent cream at daytime for 15 days. Avoid scratching and rubbing of the lesion. I hope this has helped you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav


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