instruction: hello doctor my daughter has had a pin hole from birth on the bridge of her nose we asked her pediatrician and she said with time it will fade away but I have been researching because white stuff comes out from the tiny hole now she is years and it starts to swell up and it is red and tender her nose also sweats a lot is it a nasal dermoid cyst please help also what can I do to bring the swelling down
output: hi this is definitely a dermoid cyst sinus this lesion typically presents as a small opening sinus at birth and as the child grows the wall lining in the cyst accumulates sebaceous material which can get secondarily infected resulting in swelling and then a discharge in very few cases the sinus disappears as age progresses the infection has to be treated with antibiotics and once the infection subsides this cyst along with the enter sinus tract has to be excised under general anesthesia for now you can give her an antibiotic containing amoxicillin with potassium clavulanate 475 my three times a day for one week in addition syearup ibugesic plus or its equivalent my two times a day for one week to reduce the inflammation and pain I think for now this should be sufficient please do not go to puncture or do anything to the swelling as it can flare up the infection and inflammation I hope this helps