Dermnet Videos
Acniform eruptions Videos
- Acne Cause and Pathophysiology
- Acne Lesions and Classification
- Acne Pimples – Papules and Pustules
- Acne Psychology and Approach to Patient
- Acne Treatment – How Acne Medicine Works
- Acne Treatment Antiandrogens and Birth Control Pills
- Acne Treatment with Accutane Isotretinoin Part 1
- Acne Treatment with Accutane Isotretinoin Part 2
- Acne Treatment with Oral Antibiotics Doxycycline
- Acne Treatment with Topical Retinoids Retin-A
- Blackhead and Whitehead Comedone Acne
- Cystic Acne Cases and Acne Scars
- Cystic Acne Information
Video Topics
Acne Rosacea Nose Phymatous
Subtype 3: Phymatous rosacea
Phymatous rosacea includes thickening skin, irregular surface nodularities, and enlargement. The term rhinophyma is used when these signs occur on the nose. Rhinophyma is the most common presentation, but phymatous rosacea may occur in other locations, including the chin, forehead, cheeks, and ears.
The disease begins with persistent erythema. Telangiectasias and or prominent vessels appear and may become extensive. Papules and pustules form and the disease becomes chronic. Dermal infiltrates accumulate into nodular masses.
Rhinophyma represents a severe complication of rosacea. Clinically, the nose of the affected patients, usually men, appears red, irregularly swollen, and bulbous, with prominent pilosebaceous dilated pores and telangiectasias. Multiple, firm, or soft, smooth-surfaced, red nodules and cysts can be observed.
The nose becomes enlarged and may have a grotesque appearance. Patients with this subtype may have dilated, follicles in the phymatous area. Large amounts of sebaceous material can be expressed from the dilated pores. Small cysts may be numerous.
Unfortunately, some people associate rosacea and rhinophyma with alcohol abuse; however, many patients who have rosacea neither drink alcohol nor report alcohol as a trigger for their rosacea.