Well-Circumscribed Localized-Rhinophyma as a Very Rare Presentation of Rhinophyma

Document Type: Case Report

Authors

1 Department of Dermatology, Hajdaie Dermatolgy Clinic, Kermanshah University of Medical Sciences, Kermanshah, Iran.

2 Department of Pathology, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.

3 Medical student, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Abstract

Introduction:
Rhinophyma is an uncommon subtype of rosacea, the clinical diagnosis of which is straightforward. However, localized, especially well-circumscribed,  rhinophyma is a very rare condition, which requires a paraclinical assessment to be accurately diagnosed.
 
Case Report:
We report a 48-year-old male patient who presented with a well-circumscribed and dark red tumoral mass of 28 mm in diameter and smooth consistency in the right nasal ala. The patient had no former and concomitant characteristic skin lesions on the other part of his face. Histopathology and immunohistochemistry assessments documented the diagnosis of rhinophyma.
 
Conclusion:
To the best of our knowledge, this is the first case report of well-circumscribed localized rhinophyma. This lesion can be treated by CO2 laser in a fast and efficient manner with esthetically satisfactory outcome and no significant complications.
 

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Main Subjects


1. Lee WJ, Lee YJ, Won CH, Chang SE, Choi JH, Lee MW. Clinical evaluation of 30 patients with localized nasal rosacea. J Dermatol 2016; 43(2):200-2.

2. Lee WJ, Jung JM, Won KH, Won CH, Chang SE, Choi JH, et al. Clinical evaluation of 368 patients with nasal rosacea: subtype classification and grading of nasal rosacea. Dermatology 2015;230(2):177-83.

3. Schüürmann M, Wetzig T, Wickenhauser C, Ziepert M, Kreuz M, Ziemer M. Histopathology of rhinophyma - a clinical-histopathologic correlation. J Cutan Pathol 2015;42(8):527-35.

4. Bassi A, Campolmi P, Dindelli M, Bruscino N, Conti R, Cannarozzo G, et al. Laser surgery in rhinophyma. G Ital Dermatol Venereol 2016; 151(1):9-16.

5. Skoulakis CE, Papadakis CE, Papadakis DG, Bizakis JG, Kyrmizakis DE, Helidonis ES. Excision of rhinophyma with a laser scanner handpiece--a modified technique. Rhinology 2002 ; 40 (2):83-7.

6. Madan V, Ferguson JE, August PJ. Carbon dioxide laser treatment of rhinophyma: a review of 124 patients. Br J Dermatol 2009; 161(4): 814-8.

7. Goon PK, Dalal M, Peart FC. The gold standard for decortication of rhinophyma: combined erbium-YAG/CO2 laser. Aesthetic Plast Surg 2004; 28(6): 456-60.

8. Moreira A, Leite I, Guedes R, Baptista A, Mota G. Surgical treatment of rhinophyma using carbon dioxide (CO2) laser and pulsed dye laser (PDL). J Cosmet Laser Ther 2010; 12(2):73-6.

9. Lazzeri D, Colizzi L, Licata G, Pagnini D, Proietti A, Alì G, et al. Malignancies within rhinophyma: report of three new cases and review of the literature. Aesthetic Plast Surg 2012; 36(2): 396-405.

10. Kavoussi H, Ebrahimi A, Rezaei M. Treatment and cosmetic outcome of superpulsed CO2 laser for basal cell carcinoma. Acta Dermatovenerol Alp Pannonica Adriat 2013;22 (3): 57–61.