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Alternative names Return to top
Bulbous nose; Nose - bulbous; Phymatous rosaceaDefinition 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:
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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Page last updated: 28 October 2004 |