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{{Infobox_Disease |
{{Infobox disease
  Name           = {{PAGENAME}} |
| Name           = Rhinophyma
  Image         = |
| Caption        = ''[[An Old Man and His Grandson]]'', by [[Domenico Ghirlandaio]]
  Caption        = |
| Image           = Domenico ghirlandaio, ritratto di nonno con nipote.jpg
  DiseasesDB     = 96 |
| DiseasesDB     = 96  
  ICD10         = {{ICD10|L|71|1|l|60}} |
| ICD10           = {{ICD10|L|71|1|l|60}}  
  ICD9           = {{ICD9|695.3}} |
| ICD9           = {{ICD9|695.3}}  
  ICDO           = |
| ICDO           =  
  OMIM           = |
| OMIM           =  
   MedlinePlus    = |
| MedlinePlus    = 001037
  eMedicineSubj = |
| eMedicineSubj   =  
  eMedicineTopic = |
  | eMedicineTopic =  
  MeshID         = D012224 |
| MeshID         = D012224  
}}
}}
{{SI}}
__NOTOC__
{{CMG}}; {{AE}} {{KS}}
==Overview==


'''Rhinophyma''' is a large, bulbous, ruddy [[Human nose|nose]] caused by [[granuloma]]tous infiltration, commonly due to untreated [[rosacea]].<ref name="pmid12038728">{{cite journal |author=Cohen AF, Tiemstra JD |title=Diagnosis and treatment of rosacea |journal=J Am Board Fam Pract |volume=15 |issue=3 |pages=214–7 |year=2002 |pmid=12038728 |doi= |url=http://www.jabfm.org/cgi/pmidlookup?view=long&pmid=12038728}}</ref>


'''Rhinophyma''' is a descriptive term for a large, bulbous, ruddy appearance of the [[nose]] caused by [[granuloma]]tous infiltration. This is commonly due to untreated [[rosacea]].
==Signs and symptoms==
[[Image:Rhinopyma.JPG|thumb| An example of severe rhinophyma.]]
Rhinophyma is characterised by prominent pores and a [[Fibrous connective tissue|fibrous]] thickening of the nose, sometimes with [[papule]]s.<ref>{{cite web|title=Rosacea|url=http://dermnetnz.org/acne/rosacea.html|work=Dermnetnz.org}}</ref> 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.<ref>{{cite web|title=Rhinophyma|url=http://skinchannel.com/rosacea/rhinophyma/|work=Rhinophyma|accessdate=24 March 2011}}</ref>


No known factor is known to cause this disease. It was once thought to be caused by alcohol consumption but that has proven to be false. It is derived from the [[Greek language|Greek]] ''rhis'' ('nose') and ''phyma'' ('growth'). Rhinophyma may be diagnosed without testing, but a skin biopsy can confirm the diagnosis. Surgical treatment may be beneficial.
== Causes ==
[[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|date=January 2009}}


==External links==
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.
 
==Diagnosis==
===Physical Examination===
====Skin====
=====Nose=====
<gallery>
Image:Rinofima01.jpg|Rinofima. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Rinofima02.jpg|Rinofima. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 
 
Image:Rinofima03.jpg|Rinofima. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 
 
 
Image:Rinofima04.jpg|Rinofima. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 
 
 
 
Image:Rinofima05.jpg|Rinofima. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 
 
 
 
Image:Rinofima06.jpg|Rinofima. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 
 
 
 
Image:Rinofima07.jpg|Rinofima. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 
 
 
 
Image:Rinofima08.jpg|Rinofima. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 
 
Image:Rinofima09.jpg|Rinofima. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 
 
 
 
Image:Rinofima10.jpg|Rinofima. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 
 
 
 
Image:Rinofima11.jpg|Rinofima. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 
 
 
 
Image:Rinofima12.jpg|Rinofima. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 
 
 
</gallery>
 
==Treatment==
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.<ref>{{cite book | title = Diseases of Ear, Nose and Throat | edition = 4th | author = Dingra PL}}</ref>
 
==History==
 
The term rhinophyma is derived from the [[Greek language|Greek]] ''rhis'' ('nose') and ''phyma'' ('growth').
 
== See also ==
* [[Phymas in rosacea]]
 
== References ==
{{Reflist}}
 
== External links ==
* [http://medchrome.com/minor/rhinophyma-or-potato-tumor/ Rhinophyma or Potato tumor of nose :Cause, Features and Management| Medchrome<nowiki>]</nowiki>]
* {{LoyolaMedEd|medicine/dermatology/melton/rhino1.htm}}
* {{LoyolaMedEd|medicine/dermatology/melton/rhino1.htm}}
* [http://www.orlhns.info/index.php?title=Rhinophyma  About rhinophyma at orlhns.info]
* [http://www.orlhns.info/index.php?title=Rhinophyma  About rhinophyma at orlhns.info]
* [http://www.rhinophyma.info/rhinophyma-treatment/ Rhinophyma Treatment]
*{{Cite video
| people = janjuafacialsurgery (Contributor)
| title = Rhinophyma Excision by Janjua Facial Surgery
| accessdate = 2013-02-10
| date = 2012-05-10
| url = http://www.youtube.com/watch?v=0KxOip_4kvg&feature=youtube_gdata_player
}}


{{Diseases of the skin and subcutaneous tissue}}
{{Disorders of skin appendages}}
[[Category:Head and neck]]
[[Category:Dermatology]]
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}


[[ru:Ринофима]]
[[Category:Acneiform eruptions]]
[[Category:Nose disorders]]

Latest revision as of 18:43, 26 September 2014

Rhinophyma
Classification and external resources
File:Domenico ghirlandaio, ritratto di nonno con nipote.jpg
An Old Man and His Grandson, by Domenico Ghirlandaio
ICD-10 L71.1
ICD-9 695.3
DiseasesDB 96
MedlinePlus 001037
MeSH D012224

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Overview

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

Signs and symptoms

File:Rhinopyma.JPG
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

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.

Diagnosis

Physical Examination

Skin

Nose

Treatment

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]

History

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

See also

References

  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. ↑ 4.00 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 4.11 "Dermatology Atlas".
  5. ↑ Dingra PL. Diseases of Ear, Nose and Throat (4th ed.).

External links

Retrieved from "https://www.wikidoc.org/index.php?title=Rhinophyma&oldid=1027075"