Phyma is the last stage of rosacea and is due to chronic inflammation and edema. It can affect nose (rhinophyma), chin (gnatophyma), forehead (metophyma), ears (otophyma) and eyelids (blepharophyma). Rhinophyma is the most frequent location and there are few reports about gnatophyma. We report the case of a female patient, 41 years old, who had an infiltrated, erythematous, edematous plaque aro...

We report the case of a 61-year-old man showing persistent erythematous macules, plaques, and partially confluent nodules with irregular borders, developed on his nose for one year. During that time the patient underwent several dermatological consultations, and all produced the same diagnosis: rhinophyma. So antibiotic and steroid treatment was carried out without any improvement while the les...

Sir, Granuloma faciale (GF) is a rare, but distinct in ̄ammatory dermatosis of unknown origin diagnosed on a combination of clinical and histopathological ®ndings. The clinical presentation may be very variable and can simulate a great variety of dermatosis. The treatment is not well established and in many cases may be unsatisfying and frustrating. We report here a case of disabling and dis®gur...

BACKGROUND Permethrin 5% cream used against human ectoparasites suggests that it may be effective in papulopustular rosacea. METHODS This study included 63 patients diagnosed as having papulopustular rosacea based on the clinical and histological findings. Patients were randomly assigned into permethrin (n = 23), metronidazole (n = 20) and placebo (n = 20) groups. Scores of erythema, telangie...