Rhinophyma

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Rhinophyma
Domenico ghirlandaio, ritratto di nonno con nipote.jpg
An Old Man and His Grandson, by Domenico Ghirlandaio
Specialty Dermatology 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. 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]

  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. ^ a b Fitzpatrick, James E.; Morelli, Joseph G. Dermatology Secrets Plus (5th ed.). Elsevier Health Sciences. p. 511. ISBN 9780323313551. Retrieved 10 May 2016. 
  5. ^ Dhingra P.L. Diseases of Ear, Nose and Throat, 6th edition, New Delhi 2013, 490 pp. ISBN 9788131234310

External links[edit]

Classification
External resources