Rhinophyma is a dermatologic disease characterized by large, bulbous nose. It can be associated with phymatous rosacea. The mechanism of development of rhinophyma is not yet determined. The risk factors of rhinophyma are male gender, fair skin, and family history of rosacea. Rhinophyma is a progressive condition. Initially, there is facial flushing, blotchy areas on nose, recurrent bumps, sensitive skin, and telangiectasia. Ocular rosacea may also be present. With increasing severity, the nose acquires a bulbous appearance. The oil glands increase in number in addition to thickening of skin. The gross appearance is usually waxy and rough skin with yellow discoloration. In milder forms, topical and oral antibiotics as well as topical anti-inflammatory medications such as tretinoin and azelaic acid are beneficial. However, once developed, rhinophyma does not respond to medications. The most common management of rhinophyma is surgery. Reference: https://www.healthline.com/health/rhinophyma#outlook Image via: https://www.jaad.org/article/S0190-9622(19)30171-9/fulltext
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