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

Authors

  • Fatemeh Ahmadaghaei Department of Dermatology, Hajdaie Dermatolgy Clinic, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Hamid Eftekhari Pirouz Department of Dermatology, Hajdaie Dermatolgy Clinic, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Hossein Kavoussi Department of Dermatology, Hajdaie Dermatolgy Clinic, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Iraj Ghorbani Department of Dermatology, Hajdaie Dermatolgy Clinic, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Mazaher Ramezani Department of Pathology, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Reza Kavoussi 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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Journal title

volume 31  issue 5

pages  323- 326

publication date 2019-09-01

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