MedlinePlus Medical Encyclopedia: Rhinophyma

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Rhinophyma

Contents of this page:
Illustrations Alternative names Definition Causes, incidence, and risk factors Symptoms	Signs and tests Treatment Expectations (prognosis) Complications Calling your health care provider

Illustrations

Rosacea

Alternative names Return to top

Bulbous nose; Nose - bulbous; Phymatous rosacea

Definition Return to top

Rhinophyma is a large, bulbous, ruddy appearance of the nose.

Causes, incidence, and risk factors Return to top

Formation of an enlarged, red nose was once thought to be caused by heavy alcohol consumption, but this is not the case. Rhinophyma occurs equally in those who do not drink at all and those who drink alcohol in quantity. It is seen almost exclusively in men over age 40.

The cause of rhinophyma is unknown, though it is generally regarded as a severe form of rosacea. It is a relatively rare disorder involving thickening of the skin on the nose and the presence of many oil glands.

Although rhynophyma is a cosmetic disorder, it may cause emotional distress if symptoms are obvious or extensive.

Symptoms Return to top

Symptoms involve an abnormal appearance of the nose:

Thickening
Bulb shape
May be reddish
Waxy, yellow surface

Signs and tests Return to top

Rhinophyma may usually be diagnosed without any testing. A skin biopsy may be needed to confirm the diagnosis in unusual cases.

Treatment Return to top

Surgical reshaping of the nose is the best known treatment for rhinophyma. This may be accomplished by laser, scalpel, or dermabrasion. Some physicians have reported good results from treatment with the acne medication Accutane.

Expectations (prognosis) Return to top

Rhinophyma can be corrected surgically, but the condition may recur.

Complications Return to top

Emotional distress can be caused by the change in appearance.

Calling your health care provider Return to top

Call for an appointment with your health care provider if you have symptoms of rhinophyma and would like to discuss treatment.

Update Date: 1/11/2003

Updated by: Glen H. Crawford, M.D., Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

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