Rosacea and Rhinophyma

The word "phyma" means swelling or bulb, while the word "rhino" denotes the nose. The nose can become severely affected by rosacea. Initially, the nose becomes red and shiny and appears bumpy. Then, blood vessels start to become prominent and there is progressive thickening of the skin leading to hypertrophy or enlargement of the nose. Eventually, the nose becomes deformed, with the formation of a nodule like structure over it.

This rhinophyma, alongside other features such as puffy, flushed cheeks and red, swollen eyes combine to give a characteristic rosacea appearance.

Rhinophyma primarily affects middle-aged or elderly Caucasian males. The lower two thirds of the nose are more commonly affected than the upper one third.

There are several types of rhinophyma and these include:

  • Glandular Rhinophyma

    This describes an enlargement of the sebaceous glands over the nose (sebaceous glands secrete an oily substance called sebum that maintains suppleness of the skin and prevents its drying). The surface of this type of rhinophyma is pitted or indented and the swelling is asymmetrical. When the skin surface is compressed between fingers, there may be secretion or oozing of sebum, along with dead skin cells and bacteria. The nasal skin may acquire a secondary bacterial infection that can lead to complications such as scarring.

  • Fibroangiomatous rhinophyma

    This condition causes the nose to turn red or copper in colour. The nose appears to be edematous with visible veins on its surface and there may be pustules across the surface.

  • Actinic rhinophyma

    This type involves the development of nodules of elastic tissue across the nose.

Other phymas

In addition to rhinophyma, there may be other phymas or enlargements and deformities of facial features including the following:

  • Chin (called gnathophyma)
  • Forehead (called metophyma)
  • Ears (called otophyma)
  • Eyelids (called blepharophyma)

Treatment

Treatment options for rhinophyma include surgical resection of the skin lesions which may involve:

  • Electrocautery (destroying the tissues with electrically generated heat)
  • Cryosurgery (destroying tissue with extremely cold temperature)
  • Laser ablation (destroying tissues with laser beams)

Surgery, however, may cause excessive bleeding, pain and deformity of the nose.

Further Reading

Last Updated: Feb 27, 2019

Dr. Ananya Mandal

Written by

Dr. Ananya Mandal

Dr. Ananya Mandal is a doctor by profession, lecturer by vocation and a medical writer by passion. She specialized in Clinical Pharmacology after her bachelor's (MBBS). For her, health communication is not just writing complicated reviews for professionals but making medical knowledge understandable and available to the general public as well.

Citations

Please use one of the following formats to cite this article in your essay, paper or report:

  • APA

    Mandal, Ananya. (2019, February 27). Rosacea and Rhinophyma. News-Medical. Retrieved on September 16, 2019 from https://www.news-medical.net/health/Rosacea-and-Rhinophyma.aspx.

  • MLA

    Mandal, Ananya. "Rosacea and Rhinophyma". News-Medical. 16 September 2019. <https://www.news-medical.net/health/Rosacea-and-Rhinophyma.aspx>.

  • Chicago

    Mandal, Ananya. "Rosacea and Rhinophyma". News-Medical. https://www.news-medical.net/health/Rosacea-and-Rhinophyma.aspx. (accessed September 16, 2019).

  • Harvard

    Mandal, Ananya. 2019. Rosacea and Rhinophyma. News-Medical, viewed 16 September 2019, https://www.news-medical.net/health/Rosacea-and-Rhinophyma.aspx.

Comments

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News-Medical.Net.
Post a new comment
Post