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Domenico ghirlandaio, ritratto di nonno con nipote.jpg
An Old Man and His Grandson, by Domenico Ghirlandaio
SpecialtyDermatology Edit this on Wikidata

Rhinophyma is a condition causing development of a large, bulbous nose associated with 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 and it can be classified clinically into 5 grades of increasing severity[3]. It can carry a strong psychological impact due to its effect on one's personal appearance.[4]

Controversy on Causes[edit]

Depending on the sources Alcoholism may[5] or may not[6] be attributed as a cause of this issue. Alcohol, however, may cause increased flushing in those affected.[6]


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.[citation needed]


Rhinophyma may be diagnosed without testing, but a skin biopsy can confirm the diagnosis.[citation needed]


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.[7]


  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. ^ Wang, Yan, MD, PhD, Allen, Philip, MB, BS. Giant Rhinophyma. Adv Anat Pathol. 2020;27(6):422-424. doi:10.1097/PAP.0000000000000282.
  4. ^ "Rhinophyma". Retrieved 24 March 2011.
  5. ^ Second J, Severac F, Paix A, Cribier B, Rhinophyma is associated with alcohol intake, J Am Acad Dermatol, 2019 pii: S0190-9622(19)30009-X
  6. ^ a b Fitzpatrick, James E.; Morelli, Joseph G. (4 August 2015). Dermatology Secrets Plus (5th ed.). Elsevier Health Sciences. p. 511. ISBN 9780323313551. Retrieved 10 May 2016.
  7. ^ Dhingra P.L. Diseases of Ear, Nose and Throat, 6th edition, New Delhi 2013, 490 pp. ISBN 9788131234310

External links[edit]

External resources