Rhinophyma: Difference between revisions
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{{ | {{Infobox disease | ||
| Name = Rhinophyma | |||
| Caption = ''[[An Old Man and His Grandson]]'', by [[Domenico Ghirlandaio]] | |||
| Image = Domenico ghirlandaio, ritratto di nonno con nipote.jpg | |||
| DiseasesDB = 96 | |||
| ICD10 = {{ICD10|L|71|1|l|60}} | |||
| ICD9 = {{ICD9|695.3}} | |||
| ICDO = | |||
| OMIM = | |||
| MedlinePlus = 001037 | |||
| eMedicineSubj = | |||
| eMedicineTopic = | |||
| MeshID = D012224 | |||
}} | }} | ||
{{ | __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> | |||
==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> | |||
== 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> | |||
</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 | |||
}} | |||
{{ | {{Disorders of skin appendages}} | ||
[[ | [[Category:Acneiform eruptions]] | ||
[[Category:Nose disorders]] |
Revision as of 18:39, 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
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.[4]
History
The term rhinophyma is derived from the Greek rhis ('nose') and phyma ('growth').
See also
References
- ↑ 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.
- ↑ Dingra PL. Diseases of Ear, Nose and Throat (4th ed.).
External links
- Rhinophyma or Potato tumor of nose :Cause, Features and Management| Medchrome]
- Template:LoyolaMedEd
- About rhinophyma at orlhns.info
- Rhinophyma Treatment
- janjuafacialsurgery (Contributor) (2012-05-10). Rhinophyma Excision by Janjua Facial Surgery. Retrieved 2013-02-10.