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    Rhinophyma

    Bulbous nose; Nose - bulbous; Phymatous rosacea

    Rhinophyma is a large,red-colored (ruddy) nose. The nose has a bulb shape.

    Causes

    Rhinophyma was once thought to be caused by heavy drinking of alcohol. Thisis not the case. Rhinophyma occurs at the same rate in people who do not use alcohol as in those who drink heavily.The problem is much more common in men than in women.

    The cause of rhinophyma is unknown. It mayme a severe form of a skin disease called rosacea. It is an uncommon disorder.

    Symptoms

    Symptoms include changes in thenose such as:

    • Bulb-like (bulbous) shape
    • Many oil glands
    • Reddish color (possible)
    • Thickening of the skin
    • Waxy, yellow surface

    Exams and Tests

    Most of the time, the health care provider can diagnose rhinophyma without any testing. Sometimes, aa skin biopsy may need to be done.

    Treatment

    The most common treatment is surgery to reshape the nose.Surgery may be done with a laser, scalpel, or a rotating brush (dermabrasion). Certainacne medications may also be helpful in treating the condition.

    Outlook (Prognosis)

    Rhinophyma can be corrected with surgery. The condition may return.

    Possible Complications

    The change in appearance can cause emotional distress.

    When to Contact a Medical Professional

    Call your health care provider if you have symptoms of rhinophyma and would like to talk about treatment.

    References

    Bolognia JL, Jorizzo JL, Schaffer JV, et al, eds.Dermatology. 3rd ed. Philadelphia, Pa: Mosby Elsevier; 2012:chap 37.

    Lucas JL, Tomecki KJ. Acne and rosacea. In: Carey WD, ed. Cleveland Clinic: Current Clinical Medicine 2010. 2nd ed. Philadelphia, Pa: Saunders Elsevier; 2010.

    Habif TP. Acne, rosacea, and related disorders. In: Habif TP, ed. Clinical Dermatology. 5th ed. St. Louis, Mo: Mosby Elsevier; 2009:chap 7.

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    • Rosacea

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      • Rosacea

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      Review Date: 11/20/2012

      Reviewed By: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.

      The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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      St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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