Rhinophyma

Rhinophyma
An Old Man and His Grandson, by Domenico Ghirlandaio
Classification and external resources
Specialty	dermatology
ICD-10	L71.1
ICD-9-CM	695.3
DiseasesDB	96
MedlinePlus	001037
Patient UK	Rhinophyma
MeSH	D012224
[]

Rhinophyma is a condition causing development of a large, bulbous, ruddy nose associated with granulomatous infiltration, commonly due to untreated rosacea.

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.

Alcoholism is mistakenly attributed as a cause of this issue.Alcohol however may cause increased flushing in those affected.

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.

Rhinophyma may be diagnosed without testing, but a skin biopsy can confirm the diagnosis.

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.

The term rhinophyma is derived from Greek ῥινός "rīnós ('nose') and φῦμα pʰyma ('growth').

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