A patient with a hard bump next to his nose that hurts a little when pressed may be caused by acne, folliculitis, sebaceous cysts and other causes. 1. acne: acne is a chronic inflammatory disease of the sebaceous glands of the hair follicles, mostly on the face, and its main clinical manifestations are pimples, papules, pustules, nodules and other polymorphic lesions, and pain when pressed, etc. A hard packet next to the nose that hurts when pressed may be caused by nasal acne. 2. Folliculitis: Folliculitis is an inflammatory skin disease of the hair follicles, due to the rich sebaceous glands in the nose area, if the local cleaning is not thorough may lead to sebum, dust, keratin, and skin care products, etc. to block the pores of the hair follicles, triggering folliculitis, and the main clinical manifestations of red papules around the follicles, accompanied by pus, itching, pain and other symptoms. 3. Sebaceous cysts: sebaceous cysts are mostly caused by sebaceous gland duct obstruction, glandular content accumulation, mainly manifested as a round swelling on the skin, normal skin color or light blue, smooth surface, most of them are single, secondary infection can be red, swollen, pressure pain and other manifestations. If there is a hard bag next to the nose, it is recommended that the patient seek medical examination in a timely manner to clarify the cause of the targeted treatment, pay attention to facial cleansing in life, to keep the affected area of the skin clean and dry, avoid squeezing and rubbing the affected area with your hands.