A case of rhinophyma is reported because it presented two surgical problems involving the nose; namely, removal of the hyperplastic growth and the correction of a drooped nasal tip. This growth1,2 is a distinct entity in that pathologically it is characterized by hyperplasia of the sebaceous glands, widening of the follicles, keratinization and formation of comedones, thickening of the cutis, and telangiectasia. It is preceded by a rosacea type of dermatitis manifested by transient episodes of erythema and vasodilatation. In the course of its evolution, papules and pustules begin to appear. This may take place several months or years after its original onset. With repeated recurrences, the condition becomes more lasting and drastic. The rosacea most frequently involves the flushed regions of the face, such as the lower half of the nose, paranasal regions, and chin. It may also extend to the appendages of the eyes, conjunctiva, and cornea.
FISHOF FE. Rhinophyma. AMA Arch Otolaryngol. 1959;69(4):424–430. doi:10.1001/archotol.1959.00730030434008
Artificial Intelligence Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.