Rhinophyma

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.

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. 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.

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.

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

• 
  Rinofima. Adapted from Dermatology Atlas.
• 
  Rinofima. Adapted from Dermatology Atlas.
• 
  Rinofima. Adapted from Dermatology Atlas.
• 
  Rinofima. Adapted from Dermatology Atlas.
• 
  Rinofima. Adapted from Dermatology Atlas.
• 
  Rinofima. Adapted from Dermatology Atlas.
• 
  Rinofima. Adapted from Dermatology Atlas.
• 
  Rinofima. Adapted from Dermatology Atlas.
• 
  Rinofima. Adapted from Dermatology Atlas.
• 
  Rinofima. Adapted from Dermatology Atlas.
• 
  Rinofima. Adapted from Dermatology Atlas.
• 
  Rinofima. Adapted from Dermatology Atlas.

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.

History

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

See also

• Phymas in rosacea

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.