Rhinophyma
| Rhinophyma | |
|---|---|
 |
|
| An Old Man and His Grandson, by Domenico Ghirlandaio | |
| Classification and external resources | |
| Specialty | dermatology |
| ICD-10 | L71.1 |
| ICD-9-CM | 695.3 |
| DiseasesDB | 96 |
| MedlinePlus | 001037 |
| Patient UK | Rhinophyma |
| MeSH | D012224 |
Rhinophyma is a condition causing development of a large, bulbous nose associated with granulomatous infiltration, commonly due to untreated rosacea.[1]
Contents
Signs and symptoms[edit]
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 issue.[4] Alcohol, however, may cause increased flushing in those affected.[4]
Pathophysiology[edit]
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 rosacea; it is not a cancer. It presents as a pink, lobulated mass over the nose with dilation of the superficial blood vessels; it mostly affects men past middle age. People affected by rhinophyma typically seek advice because of the perceived unsightly appearance of the enlargement, or obstruction in breathing and vision.
Diagnosis[edit]
Rhinophyma may be diagnosed without testing, but a skin biopsy can confirm the diagnosis.
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.[5]
Etymology[edit]
The term rhinophyma is derived from Greek ῥινός "rīnós ('nose') and φῦμα pʰyma ('growth').
References[edit]
- ^ Cohen AF, Tiemstra JD (2002). "Diagnosis and treatment of rosacea". J Am Board Fam Pract. 15 (3): 214–7. PMID 12038728.
- ^ "Rosacea". Dermnetnz.org.
- ^ "Rhinophyma". Rhinophyma. Retrieved 24 March 2011.
- ^ a b Fitzpatrick, James E.; Morelli, Joseph G. Dermatology Secrets Plus (5th ed.). Elsevier Health Sciences. p. 511. ISBN 9780323313551. Retrieved 10 May 2016.
- ^ Dhingra P.L. Diseases of Ear, Nose and Throat, 6th edition, New Delhi 2013, 490 pp. ISBN 9788131234310
External links[edit]
- MedEd at Loyola medicine/dermatology/melton/rhino1.htm
- janjuafacialsurgery (Contributor) (2012-05-10). Rhinophyma Excision by Janjua Facial Surgery. Retrieved 2013-02-10.
