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July 1954


AMA Arch Derm Syphilol. 1954;70(1):91-93. doi:10.1001/archderm.1954.01540190093008

RHINOPHYMA is a form of rosacea due to marked hyperplasia of the sebaceous glands produced over a period of years. Marked hypertrophy of the tissues of the nose occurs. These lesions, ranging from the size of a pea to a cherry, become nodular, discolored, and lobulated. Many of the nodules and even the normal surrounding skin shows pitted scars, depressions, and enlarged follicular openings. Rosacea may still be present. The lesions may be firm or soft, and dull red to purplish in color. The cheeks and chin may also be involved. The more severe forms are usually restricted to men. Alcohol may play a part in its inception, but is a variable factor. The surface has a lowered body temperature and pales on pressure. The treatment heretofore has been by plastic surgery (scalpel or razor), excision with free skin grafting, electrosurgery, or cautery. A method is