Rhinophyma

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Rhinophyma
Classification and external resources
Domenico ghirlandaio, ritratto di nonno con nipote.jpg
ICD-10L71.1
ICD-9695.3
DiseasesDB96
MedlinePlus001037
MeSHD012224
 
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Rhinophyma
Classification and external resources
Domenico ghirlandaio, ritratto di nonno con nipote.jpg
ICD-10L71.1
ICD-9695.3
DiseasesDB96
MedlinePlus001037
MeSHD012224

Rhinophyma is a large, bulbous, ruddy nose caused by granulomatous infiltration, commonly due to untreated rosacea.[1]

Signs and symptoms[edit]

An example of severe rhinophyma.

Rhinophyma is characterised by prominent pores and a fibrous thickening of the nose, sometimes with papules.[2] It is associated with the common skin condition rosacea. It can carry a strong psychological impact due to its effect on one's personal appearance.[3]

Causes[edit]

Alcoholism is mistakenly attributed as a cause of this disease, but heavy alcohol consumption does aggravate the condition. Rhinophyma may be diagnosed without testing, but a skin biopsy can confirm the diagnosis. Surgical treatment may be beneficial.[citation needed]

Rhinophyma is a slowly progressive condition due to hypertrophy of the sebaceous glands of the tip of the nose often seen in cases of long-standing acne rosacea; it is not a neoplasm. It presents as a pink, lobulated mass over the nose with superficial vascular dilation; it mostly affects men past middle age. Patients seek advice because of the perceived unsightly appearance of the enlargement, or obstruction in breathing and vision.

Treatment[edit]

Treatment consists of paring down the bulk of the tissue with a sharp instrument or carbon dioxide laser and allowing the area to re-epithelialise. Sometimes, the tissue is completely excised and the raw area skin-grafted.[4]

History[edit]

The term rhinophyma is derived from the Greek rhis ('nose') and phyma ('growth').

See also[edit]

References[edit]

  1. ^ Cohen AF, Tiemstra JD (2002). "Diagnosis and treatment of rosacea". J Am Board Fam Pract 15 (3): 214–7. PMID 12038728. 
  2. ^ "Rosacea". Dermnetnz.org. 
  3. ^ "Rhinophyma". Rhinophyma. Retrieved 24 March 2011. 
  4. ^ Dingra PL. Diseases of Ear, Nose and Throat (4th ed.). 

External links[edit]