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Rhinophyma

Rhinophyma Definition

Rhinophyma refers to a large, reddish and bulbous nose resulting from granulomatous infiltration. Generally, this condition occurs as a result of leaving a severe case of Rosacea untreated.

The disorder is also referred to as:

  • Bulbous Nose
  • Phymatous Rosacea

Rhinophyma Incidence

The disorder has a high prevalence rate. Men are more at risk of being affected by the condition compared to women. Bulbous Nose does not generally occur in young men, young women and children. Middle aged people are generally affected by it. The onset of the symptoms usually occurs between the ages of 30 and 55.

Rhinophyma Causes

The exact causes of this disorder are still not known. It occurs at a later stage of the chronic skin disorder Rosacea. Bulbous Nose can be a result of a combination of natural and hereditary factors.

Alcohol was previously believed to be a key factor responsible for causing Phymatous Rosacea. However, the disease can similarly affect people who drink alcohol and those who do not. Naturally, it is not the main reason behind the condition. However, alcohol tends to increase the redness of an affected nose by enhancing the blood supply for a short period of time.

Rhinophyma Symptoms

The symptoms of this condition may vary from one person to another. Presence of numerous oil glands on the nose and the thickening of the nasal skin are common characteristics of this disorder. It may also lead to Telangiectasis, a condition in which dilated blood vessels are permanently accumulated near the skin surface. The most common and noticeable symptoms of Phymatous Rosacea are:

  • Enlargement of the nose
  • Waxy and yellowish appearance of the surface of the nose
  • Redness of the skin on and around the nose
  • Bulbous shape of nose

An enlarged nose also disrupts vision and may give rise to respiratory problems. Some people believe that the bulbous nose can be an indicator of skin cancer. This is because, according to some studies, people with this type of cancer have a history of Bulbous Nose.

Rhinophyma Prevention

The only way to prevent the disorder is to treat Rosacea at an early stage before it can advance and lead to this condition. Individuals suffering from Rosacea should avoid extreme temperatures, going out in sunlight, taking hot baths and using cosmetics. They should also avoid alcohol, caffeinated drinks, coffee and spicy foods as these substances can dilate the blood vessels.

Rhinophyma Diagnosis

In most cases, the disorder can be identified without performing any diagnostic tests due to the distinct signs and symptoms that it gives rise to. However, a skin biopsy is sometimes required for confirming the diagnosis. A doctor may study the medical history of the patient to see if he or she is suffering from Rosacea as it may indicate the presence of Phymatous Rosacea.

Rhinophyma Differential Diagnosis

A condition called Nasal Sarcoidosis or Lupus Pernio has symptoms similar to this disorder. Hence, it is important to differentiate between these two disorders during the diagnosis and make sure that a patient has Phymatous Rosacea.

Rhinophyma Treatment and Management

The treatment options for the disorder include medications and surgery. Treatment depends on the severity of the symptoms. Another important aspect of the treatment is following a proper diet that helps to cure the Bulbous Nose. An alkaline diet helps in balancing the internal pH of the body and improving the flow of lymph.

Rhinophyma Medical Treatment

Mild cases of Bulbous Nose can be cured by treating the Rosacea with the aid of medicine. It keeps developing until the condition is treated properly. Naturally, stopping the progression of the disease is one of the main aims of the treatment. Topical medications such as Azelaic Acid, Benzoyl Peroxide and Metronidazole are useful for reducing the redness and inflammation of the nose. Oral antibiotics like Tetracycline (Doxycycline) and Erythromycin can lessen the inflammation as well. In some cases, the oral antibiotics are more effective compared to the topical medications.

Isotretinoin can be used both orally and topically for reducing the oil production from sebaceous glands. A doctor should keep the patient under study after administering oral dosages of Isotretinoin as it may cause some serious side effects. Antibiotic ointments such as MetroGel and MetroCream are also prescribed to patients of this syndrome.

Rhinophyma Surgical Treatment

Severe cases of the condition require proper surgery. The surgeries used for the purpose are:

  • Electrosurgery
  • Laser treatment
  • Dermabrasion
  • Resculpturing

Electrical devices and lasers are used for removing the excess tissue accumulating on nose of the patients. A fast rotating wire brush or a scalpel can also be used for removing the tissues. These are commonly used in a surgical procedure called Dermabrasion. The nose continues to look red after the tissue removal surgery for around a year. After that, the nose assumes normal skin color. Although the surgeries can effectively cure Rhinophyma, it is better to treat it by medications at an initial stage as surgeries can lead to various complications in certain individuals.

Plastic surgery is another surgical option for the correction of the affected nose. Rhinoplasty is the most common form of plastic surgery used for the reduction of the affected nose. Usually, this surgery is performed on outpatient basis (the patient does not have to stay at the hospital overnight) after putting the patient under local anesthesia.

Latest surgical treatments include pulsed dye laser or PDL and CO2 (carbon dioxide) laser.

Rhinophyma Alternative Treatments

One can consider natural treatment options for recovering from the condition. It can also be cured with Homeopathy.

Natural Treatment

The herbs required for this treatment are very easily available at any herb store. The home remedies used for this purpose include:

  • Crysanthellum indicum cream
  • Niacinamide cream
  • Green tea cream
  • Apple cider vinegar
  • Licorice
  • Azelaic acid creams
  • Oatmeal face washes

Herbs like aloe vera, burdock and rose hip are also used for treating this disease.

Homeopathic Treatment

The homeopathic medicines used for the treatment depends on the underlying cause of the disorder. Pulsatilla 4-9 CH reduces the blood vessel dilation. Some other medications like Arnica Montana 4-5 CH and Lachesis 5-9 CH also work in the same way.

Rhinophyma Prognosis

The condition has a mixed prognosis. Surgery can successfully restore the nose to a normal shape and size. In some instances, however, the correction made by surgery is not permanent. An individual should seek further treatment if the condition recurs.

Rhinophyma Support Groups

There are various foundations and forums that provide guidance about the management of the disease. These include:

SkinMD, LLC

Orland Park Office

16105 S. LaGrange Road.

Orland Park, Illinois 60467

Fax: 708 636 4361

Phone: 708 636 3767

E-mail: info@skinmdchicago.com

Website: http://www.skinmdchicago.com/default.asp

National Rosacea Society

800 South Northwest Highway, Suite 200

Barrington Illinois, 60010

Website: http://rosacea.org

Rhinophyma is a curable disorder. But it is important to treat the condition before it reaches an advanced stage where it will require a surgery to attain full recovery.

Rhinophyma Pictures

These images show how the disorder distorts the appearance of the nose. The photos show the appearance of an affected nose before and after surgery.

Picture of Rhinophyma

Picture 1 – Rhinophyma

Image of Rhinophyma

Picture 2 – Rhinophyma Image

References:

http://rosacea.emedtv.com/rhinophyma/rhinophyma-treatment.html

http://www.sharecare.com/question/what-are-symptoms-of-rhinophyma

http://www.whereincity.com/medical/topic/ent-care/diseases/rhinophyma-173.htm

http://www.rightdiagnosis.com/r/rhinophyma/symptoms.htm

http://health.nytimes.com/health/guides/disease/rhinophyma/overview.html

By   Last updated November 21st, 2012

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