Health Encyclopedia

Rhinophyma

Definition

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

Alternative Names

Bulbous nose; Nose - bulbous; Phymatous rosacea

Causes, incidence, and risk factors

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 alcohol in quantity. The condition is much more common in men than in women.

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. The nose takes on a bulb-like (bulbous) look.

Symptoms

Symptoms involve an abnormal appearance of the nose:

Thickening
Bulb shape
May be reddish
Waxy, yellow surface

Signs and tests

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

Treatment

Surgical reshaping of the nose is the best known treatment for rhinophyma. This may be accomplished by laser, scalpel, or dermabrasion. There have been reports of good results from using certain acne medications.

Expectations (prognosis)

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

Complications

Emotional distress can be caused by the change in appearance.

Calling your health care provider

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

Review Date:12/19/2007
Reviewed By:A.D.A.M. Editorial Team: David Zieve, MD, MHA, Greg Juhn, MTPW, David R. Eltz, Kelli A. Stacy, ELS. Previously reviewed by Michael S. Lehrer, M.D., Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network (10/26/2006).

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