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

References

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Iranian Journal of Otorhinolaryngology
Volume 31, Issue 5 - Serial Number 106
September and October 2019
Pages 323-326

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