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Rhinophyma

Contents of this page:

Illustrations

Rosacea
Rosacea

Alternative Names    Return to top

Bulbous nose; Nose - bulbous; Phymatous rosacea

Definition    Return to top

Rhinophyma is a large, bulb-shaped, red-colored (ruddy) nose.

Causes    Return to top

Rhinophyma 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 large quantities of alcohol. The condition is much more common in men than in women.

The cause of rhinophyma is unknown, though it is thought to be a severe form of rosacea. It is a relatively rare disorder.

Symptoms    Return to top

Symptoms involve an abnormal appearance of the nose:

Exams 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

Surgery to reshape the nose is the best known treatment for rhinophyma. Surgery may be done with a laser, scalpel, or a rotating brush (dermabrasion). There have been reports of good results from using certain acne medications.

Outlook (Prognosis)    Return to top

Rhinophyma can be corrected with surgery, but the condition may return.

Possible Complications    Return to top

The change in appearance can cause emotional distress.

When to Contact a Medical Professional    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: 10/3/2008

Updated by: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network (10/26/2006). Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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