Therapeutic Strategies in Dermatology

Rosacea: Key Points

…sia, papules and pustules, sebaceous hyperplasia of the nose (rhinophyma), and/or ocular symptoms. Triggers for flushing include alcohol, sun exposure, hot weather, exercise, ingestion of hot or spicy foods/ drink or a medication, and emotional stres…

Therapeutic Strategies in Dermatology

Rosacea: Initial Evaluation

…eous glands, connective tissue, and vascular bed of the nose (rhinophyma). These changes can also be seen on the chin (gnathophyma), ears (otophyma), forehead (metophyma), and eyelids (blepharophyma); almost exclusively in males. Ocular subt…

Therapeutic Strategies in Dermatology

Rosacea: Treatment

…area by a dermatologist. Electrosurgical sculpturing of the rhinophymatous nose gives excellent results, is fast, and is almost bloodless. It is equivalent to laser therapy, although it may be more likely to scar. A CO2 laser or erbium-YAG laser ma…

Clinical Case Studies

Rhinophyma with Basal Cell Carcinoma

…sing. Figure 1. Face frontal view at time of presentation. Rhinophyma with concomitant basal cell carcinoma was suspected because of the history and morphology. A review of the literature reveals 15 to 30% rates of carcinoma in the setting of rhin…

A Clinical Atlas of 101 Common Skin Diseases

Rosacea

…ird of the face in both vertical and horizontal directions. Among the varied manifestations of rosacea are innumerable telangiectases, perioral and periocular dermatitis, and rhinophyma. Complications of rosacea include keratitis and conjunctivitis….

Histologic Diagnosis of Inflammatory Skin Diseases

Rosacea

…macules associated with strikingly dilated end blood vessels. Rhinophyma is characterized by enlargement of the nose as a result of proliferation of sebocytes in sebaceous glands and development of infundibular cysts that rupture and induce thereby g…

Histologic Diagnosis of Inflammatory Skin Diseases

Images

…lymphocytes and plasma cells = Rosacea, papular, incipiently rhinophymatous/metaphymatous  The granulomatous peri-infundibulitis and the milium are responsible for the papular quality of this lesion of rosacea, whereas the fibrosis secondary to the…

Histologic Diagnosis of Inflammatory Skin Diseases

"Folliculitis" (Infundibulitis)

…combination of infundibular cysts and sebaceous hyperplasia (rhinophyma). Pyoderma gangrenosum often starts out as suppurative infundibulitis and galvanizes to become extensive suppurative dermatitis and panniculitis. Halogenodermas begin as suppura…

Histologic Diagnosis of Inflammatory Skin Diseases

Behçet’s Disease

…ometimes is associated with prominent telangiectases and with rhinophyma. Panniculitis Erythema nodosum presents itself as bilateral tender nodules or plaques on the lower extremities, especially over anterior tibia and particularly in women. The l…

Histologic Diagnosis of Inflammatory Skin Diseases

Video Library

…l Bed Biopsy No. of Hits : 348 Rhombic Transposition Flap No. of Hits : 342 Lip Wedge Repair Mucosal Eversion Stitch No. of Hits : 218 Rhinophyma Correction No. of Hits : 276 Lipoma Excision and Drain Placement No. of Hits : 416 1 2 next…