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DermAtlas: NOSE - rhinophyma
© 2001-2009, DermAtlas
Image Name: Rhinophyma_Rosacea_1_071207   File Type: jpg
Diagnosis: RHINOPHYMA /
ACNE ROSACEA
  Category: acneiform /
vascular malformation
Body Site: nose   Age: 72 years
Contributor: Jerzy Pawlak, MSc,PhD    
Description: bulbous thickening of the nose with intense erythem, diffuse telangiectasias, and scattered crusts
Comments: This 72-year-old man demonstrated the typical features of rhinophymatous rosacea with diffuse telangiectasias and bulbous deformity of the nose. Note the conjunctival telangiectasias as well.

DermAtlas: NOSE - rhinophyma
© 2001-2009, DermAtlas
Image Name: rhinophyma_4_061207   File Type: jpg
Diagnosis: RHINOPHYMA /
ACNE ROSACEA
  Category: adnexal disorder
Body Site: nose / face   Age: 67 years
Contributor: Eric Ehrsam, MD    
Description: diffuse soft tissue thickening with sebaceos hyperplasia and surrounding telangiectasias
Comments: A 67-year-old man with a long history of rosacea with cysts and pustules developed thickening of his nose. Although the deformity continued to worsen, he refused surgery.
Related Images: All related Images  rhinophyma_1_061207  rhinophyma_2_061207  rhinophyma_3_061207 

DermAtlas: NOSE - rhinophyma
© 2001-2009, DermAtlas
Image Name: rhinophyma_3_061207   File Type: jpg
Diagnosis: RHINOPHYMA /
ACNE ROSACEA
  Category: adnexal disorder
Body Site: nose / face   Age: 67 years
Contributor: Eric Ehrsam, MD    
Description: diffuse soft tissue thickening with sebaceos hyperplasia and surrounding telangiectasias
Comments: A 67-year-old man with a long history of rosacea with cysts and pustules developed thickening of his nose. Although the deformity continued to worsen, he refused surgery.
Related Images: All related Images  rhinophyma_1_061207  rhinophyma_2_061207  rhinophyma_4_061207 

DermAtlas: NOSE - rhinophyma
© 2001-2009, DermAtlas
Image Name: rhinophyma_2_061207   File Type: jpg
Diagnosis: RHINOPHYMA /
ACNE ROSACEA
  Category: adnexal disorder
Body Site: nose / face   Age: 67 years
Contributor: Eric Ehrsam, MD    
Description: diffuse soft tissue thickening with sebaceos hyperplasia and surrounding telangiectasias
Comments: A 67-year-old man with a long history of rosacea with cysts and pustules developed thickening of his nose. Although the deformity continued to worsen, he refused surgery.
Related Images: All related Images  rhinophyma_1_061207  rhinophyma_3_061207  rhinophyma_4_061207 

DermAtlas: NOSE - rhinophyma
© 2001-2009, DermAtlas
Image Name: rhinophyma_1_061207   File Type: jpg
Diagnosis: RHINOPHYMA /
ACNE ROSACEA
  Category: adnexal disorder
Body Site: nose / face   Age: 67 years
Contributor: Eric Ehrsam, MD    
Description: diffuse soft tissue thickening with sebaceos hyperplasia and surrounding telangiectasias
Comments: A 67-year-old man with a long history of rosacea with cysts and pustules developed thickening of his nose. Although the deformity continued to worsen, he refused surgery.
Related Images: All related Images  rhinophyma_2_061207  rhinophyma_3_061207  rhinophyma_4_061207 

DermAtlas: FACE - acne rosacea
© 2001-2009, DermAtlas
Image Name: ACNE_ROSACEA_1_050219   File Type: jpg
Diagnosis: ACNE ROSACEA   Category: hair disorders
Body Site: face / cheek
chin / eye lid
  Age: 45 years
Contributor: Yahia Albaili, DO    
Description: symmetric grouped red papules, pustules, and plaques with crusting
Comments: This 45-year-old woman developed erythema, papules, pustules, and telangiectasias on the cheeks and forehead. The eruptions worsened with by high ambient temperature, hot drink, alcohol, spicy foods.

DermAtlas: NOSE - rhinophyma
© 2001-2009, DermAtlas
Image Name: rhinophyma_1_041008   File Type: jpg
Diagnosis: RHINOPHYMA /
ACNE ROSACEA
  Category: lumps & bumps (plaques, nodules, tumors) /
hair disorders
Body Site: nose / face   Age: 70 years
Contributor: Carrie McCann, RN    
Description: generalized hypertrophy of the skin with inflammatory papules, pustules, and cysts
Comments: This 70-year-old man developed progressive thickening of the skin of his face in association with severe inflammatory rosacea

DermAtlas: FACE - acne rosacea
© 2001-2009, DermAtlas
Image Name: acne_rosacea_1_041018   File Type: jpg
Diagnosis: ACNE ROSACEA   Category: granulomatous disorder /
photosensitivity, photoexacerbated /
acneiform
Body Site: face / cheek   Age: 55 years
Contributor: Shahbaz A. Janjua, MD    
Description: symmetric red edematous papules
Comments: This 55-year-old woman presented with a 2 year history of a symmetrical red papular eruption associated with diffuse erythema involving the malar areas, lower cheecks and the perioral areas. On diascopy, the papules appeared yellowish-brown. The eruption was photosensitive and other exacerbating factors included spicy foods and extremes of temperature. She denied any use of topical or oral steroids. Review of systems and family history were unremarkable. She improved with sun protection measures, topical metronidazole gel and oral doxycycline. Granulomatous rosacea is considered to be a part of the spectrum of rosacea, and is referred to as a variant of rosacea.
Related Images: All related Images  acne_rosacea_3_041018  acne_rosacea_2_041018 

DermAtlas: FACE - acne rosacea
© 2001-2009, DermAtlas
Image Name: acne_rosacea_2_041018   File Type: jpg
Diagnosis: ACNE ROSACEA   Category: granulomatous disorder /
photosensitivity, photoexacerbated /
acneiform
Body Site: face / cheek   Age: 55 years
Contributor: Shahbaz A. Janjua, MD    
Description: symmetric red edematous papules
Comments: This 55-year-old woman presented with a 2 year history of a symmetrical red papular eruption associated with diffuse erythema involving the malar areas, lower cheecks and the perioral areas. On diascopy, the papules appeared yellowish-brown. The eruption was photosensitive and other exacerbating factors included spicy foods and extremes of temperature. She denied any use of topical or oral steroids. Review of systems and family history were unremarkable. She improved with sun protection measures, topical metronidazole gel and oral doxycycline. Granulomatous rosacea is considered to be a part of the spectrum of rosacea, and is referred to as a variant of rosacea.
Related Images: All related Images  acne_rosacea_3_041018  acne_rosacea_1_041018 

DermAtlas: FACE - acne rosacea
© 2001-2009, DermAtlas
Image Name: acne_rosacea_3_041018   File Type: jpg
Diagnosis: ACNE ROSACEA   Category: granulomatous disorder /
photosensitivity, photoexacerbated /
acneiform
Body Site: face / cheek
neck
  Age: 55 years
Contributor: Shahbaz A. Janjua, MD    
Description: symmetric red edematous papules
Comments: This 55-year-old woman presented with a 2 year history of a symmetrical red papular eruption associated with diffuse erythema involving the malar areas, lower cheecks and the perioral areas. On diascopy, the papules appeared yellowish-brown. The eruption was photosensitive and other exacerbating factors included spicy foods and extremes of temperature. She denied any use of topical or oral steroids. Review of systems and family history were unremarkable. She improved with sun protection measures, topical metronidazole gel and oral doxycycline. Granulomatous rosacea is considered to be a part of the spectrum of rosacea, and is referred to as a variant of rosacea.
Related Images: All related Images  acne_rosacea_2_041018  acne_rosacea_1_041018 

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Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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