Rhinophyma is an infrequent lesion. Only a few paragraphs describing this condition are to be found in the standard textbooks of otolaryngology.
It is almost universally thought that the original condition of the skin is acne rosacea. Synonyms frequently used are "toper's nose," "coppernose," "rum blossom" and "brandy face." Although alcoholism is frequently a predisposing factor, it was stated by Tulipan1 to be so only indirectly. In his opinion, most, if not all, cases of rosacea are due to a deficiency of the vitamin B complex.Acne rosacea is a chronic disease of the face characterized by hypertrophy and telangiectasia, often associated with acneform lesions and terminating in rare instances in pronounced hypertrophy of the tissues, particularly of the nose.Early there occurs erythema, diffuse or in localized patches, which is transient and induced or made intense by exposure to cold or heat. The color of the
WEHR RH. RHINOPHYMA. Arch Otolaryngol. 1949;50(4):443–449. doi:10.1001/archotol.1949.00700010455008
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