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Rhinophyma
Classification and external resources
ICD-10 L71.1
ICD-9 695.3
DiseasesDB 96
MeSH D012224
An Old Man and His Grandson, by Domenico Ghirlandaio

Rhinophyma is a descriptive term for a large, bulbous, ruddy appearance of the nose caused by granulomatous infiltration, commonly due to untreated rosacea.[1]

Alcoholism is mistakenly attributed as one of the reasons for this disease; heavy alcohol consumption aggravates the condition and consequently it is suffered by many alcoholics. It is derived from the 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.

Rhinophyma is a slowly progressive condition due to hypertrophy of the sebaceous glands of the tip of 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 unsightly appearance of the enlargement, or obstruction in breathing and vision. Treatment consists of paring down the bulk of the tissue with a sharp knife or carbon dioxide laser and allowing the area to re-epithelialise. Sometimes, the tissue is completely excised and the raw area skin-grafted.[2]

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. http://www.jabfm.org/cgi/pmidlookup?view=long&pmid=12038728.  
  2. ^ Dingra PL. Diseases of Ear, Nose and Throat (4th ed.).  

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