|An Old Man and His Grandson, by Domenico Ghirlandaio|
|Classification and external resources|
Signs and symptoms
Rhinophyma is characterised by prominent pores and a fibrous thickening of the nose, sometimes with papules. 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.
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.
Rhinophyma may be diagnosed without testing, but a skin biopsy can confirm the diagnosis.
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.
The term rhinophyma is derived from the Greek rhis ('nose') and phyma ('growth').
- 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.
- Fitzpatrick, James E.; Morelli, Joseph G. Dermatology Secrets Plus (5th ed.). Elsevier Health Sciences. p. 511. ISBN 9780323313551. Retrieved 10 May 2016.
- Dingra PL. Diseases of Ear, Nose and Throat (4th ed.).[page needed]