鼻瘤
WordNet
- enlargement of the nose with dilation of follicles and redness and prominent vascularity of the skin; often associated with excessive consumption of alcohol (同)hypertrophic rosacea, toper''s nose, brandy nose, rum nose, rum-blossom, potato_nose, hammer nose, copper nose
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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/03/02 03:22:55」(JST)
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Rhinophyma |
Classification and external resources |
An Old Man and His Grandson, by Domenico Ghirlandaio
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ICD-10 |
L71.1 |
ICD-9 |
695.3 |
DiseasesDB |
96 |
MedlinePlus |
001037 |
MeSH |
D012224 |
Rhinophyma is a large, bulbous, ruddy nose caused by granulomatous infiltration, commonly due to untreated rosacea.[1]
Contents
- 1 Signs and symptoms
- 2 Causes
- 3 Treatment
- 4 History
- 5 See also
- 6 References
- 7 External links
Signs and symptoms[edit]
An example of severe rhinophyma.
Rhinophyma is characterised by prominent pores and a fibrous thickening of the nose, sometimes with papules.[2] It is associated with the common skin condition rosacea. It can carry a strong psychological impact due to its effect on one's personal appearance.[3]
Causes[edit]
Alcoholism is mistakenly attributed as a cause of this disease, but heavy alcohol consumption does aggravate the condition. Rhinophyma may be diagnosed without testing, but a skin biopsy can confirm the diagnosis. Surgical treatment may be beneficial.[citation needed]
Rhinophyma is a slowly progressive condition due to hypertrophy of the sebaceous glands of the tip of the nose often seen in cases of long-standing acne rosacea; it is not a neoplasm. It presents as a pink, lobulated mass over the nose with superficial vascular dilation; it mostly affects men past middle age. Patients seek advice because of the perceived unsightly appearance of the enlargement, or obstruction in breathing and vision.
Treatment[edit]
Treatment consists of paring down the bulk of the tissue with a sharp instrument or carbon dioxide laser and allowing the area to re-epithelialise. Sometimes, the tissue is completely excised and the raw area skin-grafted.[4]
History[edit]
The term rhinophyma is derived from the Greek rhis ('nose') and phyma ('growth').
See also[edit]
References[edit]
- ^ Cohen AF, Tiemstra JD (2002). "Diagnosis and treatment of rosacea". J Am Board Fam Pract 15 (3): 214–7. PMID 12038728.
- ^ "Rosacea". Dermnetnz.org.
- ^ "Rhinophyma". Rhinophyma. Retrieved 24 March 2011.
- ^ Dingra PL. Diseases of Ear, Nose and Throat (4th ed.).
External links[edit]
- Rhinophyma or Potato tumor of nose :Cause, Features and Management| Medchrome]
- MedEd at Loyola medicine/dermatology/melton/rhino1.htm
- About rhinophyma at orlhns.info
- Rhinophyma Treatment
- janjuafacialsurgery (Contributor) (2012-05-10). Rhinophyma Excision by Janjua Facial Surgery. Retrieved 2013-02-10.
Disorders of skin appendages (L60–L75, 703–706)
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Nail |
- thickness: Onychogryphosis
- Onychauxis
- color: Beau's lines
- Yellow nail syndrome
- Leukonychia
- Azure Lunula
- shape: Koilonychia
- Nail clubbing
- behavior: Onychotillomania
- Onychophagia
- other: Ingrown nail
- Anonychia
- ungrouped: Paronychia
- Chevron nail
- Congenital onychodysplasia of the index fingers
- Green nails
- Half and half nails
- Hangnail
- Hapalonychia
- Hook nail
- Lichen planus of the nails
- Longitudinal erythronychia
- Malalignment of the nail plate
- Median nail dystrophy
- Mees' lines
- Melanonychia
- Muehrcke's lines
- Nail–patella syndrome
- Onychoatrophy
- Onychocryptosis
- Onycholysis
- Onychomadesis
- Onychomatricoma
- Onychomycosis
- Onychophosis
- Onychoptosis defluvium
- Onychorrhexis
- Onychoschizia
- Platonychia
- Pincer nails
- Plummer's nail
- Psoriatic nails
- Pterygium inversum unguis
- Pterygium unguis
- Purpura of the nail bed
- Racquet nail
- Red lunulae
- Shell nail syndrome
- Splinter hemorrhage
- Spotted lunulae
- Staining of the nail plate
- Stippled nails
- Subungual hematoma
- Terry's nails
- Twenty-nail dystrophy
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Hair |
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Sweat glands |
Eccrine |
- Miliaria
- Colloid milium
- Miliaria crystalline
- Miliaria profunda
- Miliaria pustulosa
- Miliaria rubra
- Occlusion miliaria
- Postmiliarial hypohidrosis
- Granulosis rubra nasi
- Ross’ syndrome
- Anhidrosis
- Hyperhidrosis
- Generalized
- Gustatory
- Palmoplantar
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Apocrine |
- Body odor
- Chromhidrosis
- Fox–Fordyce disease
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Sebaceous |
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noco/cong/tumr, sysi/epon
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UpToDate Contents
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English Journal
- Histopathology of rhinophyma - a clinical-histopathologic correlation.
- Schüürmann M1, Wetzig T2, Wickenhauser C3, Ziepert M4, Kreuz M4, Ziemer M1.
- Journal of cutaneous pathology.J Cutan Pathol.2015 May 6. doi: 10.1111/cup.12518. [Epub ahead of print]
- BACKGROUND: Whereas early rhinophyma is histopathologically thought to resemble fully developed rosacea, a fibromatous variant has previously been described for severe rhinophyma. In terms of clinical characteristics, recently a new Rhinophyma Severity Index (RHISI) was introduced.METHODS: We studie
- PMID 25950712
- Treatment of a double-giant Rhinophyma with electrocautery and Versajet hydrosurgery system.
- Novati FC, Franchi A, Roggio T, Ramella V, Arnež ZM.
- Annali italiani di chirurgia.Ann Ital Chir.2015 Apr 21;86(ePub). pii: S2239253X15023269.
- in
English, ItalianIl rinofima è una condizione deturpante dovuta ad un ipertrofia delle ghiandole sebacee del naso eziologicamente correlata alla rosacea. Essa porta ad un progressivo ispessimento della cute fino allo sviluppo, in alcuni casi, di gravi deformità che determinano importanti def
- Fractionated carbon dioxide laser therapy as treatment of mild rhinophyma: report of three cases.
- Meesters AA1, van der Linden MM, De Rie MA, Wolkerstorfer A.
- Dermatologic therapy.Dermatol Ther.2015 Mar 5. doi: 10.1111/dth.12205. [Epub ahead of print]
- Rhinophyma is a bothersome condition of the nose that is regarded as a manifestation of rosacea (subtype 3). Whereas the efficacy of medical treatments, including antibiotics and retinoids, is often dissatisfying, conventional invasive procedures are limited by their unfavorable side effect profile.
- PMID 25753618
- CO2 laser for the treatment of rhinophyma.
- Baró CJ1, Gómez R2, Serrat A2.
- Acta otorrinolaringológica española.Acta Otorrinolaringol Esp.2015 Jan-Feb;66(1):61-2. doi: 10.1016/j.otorri.2013.06.009. Epub 2013 Dec 12.
- PMID 24332304
Japanese Journal
- Good cosmesis of a large rhinophyma after carbon dioxide laser treatment
- HSU Chao-Kai,LEE J. Yu-Yun,WONG Tak-Wah
- Journal of dermatology 33(3), 227-229, 2006-03-01
- NAID 10019171895
- Photodynamic Therapy for Rhinophyma
- AMARI Noriko,ANDO Iwao,WAKUGAWA Motoshi
- Journal of dermatology 31(9), 771-772, 2004-09-01
- NAID 10016259644
Related Links
- Rhinophyma was once thought to be caused by heavy alcohol use. This is not correct. Rhinophyma occurs equally in people who do not use alcohol and in ... The most common treatment is surgery to reshape the nose.
- What is Rhinophyma? Rhinophyma is the uneven swelling of the nose, as caused by advanced-stage rosacea. It is almost exclusively seen in elderly patients and represents the full extent of what rosacea is capable of dong to the ...
- rhinophyma [ri″no-fi´mah] a manifestation of severe rosacea involving the lower half of the nose and sometimes spreading to adjacent cheek areas, usually seen in adult males, and characterized by thickened, lobulated overgrowth of ...
Related Pictures
★リンクテーブル★
[★]
- 英
- rosacea
- 同
- 酒さ性ざ瘡 酒さ様ざ瘡 acne rosacea
- 関
- 脂腺
概念
- 中高年の顔面(頬や鼻など)にびまん性発赤と血管拡張をきたす慢性炎症性疾患。
- 持続性の毛細血管拡張に丘疹、膿疱、紅斑など混じる病態。
- ストレス、日光暴露が増悪因子とされる。
重症度
- 参考1
- 新しい皮膚科
- 重症度によって3段階に分類される
- 第1、2度は中年以降の女性に好発。第3度は男性に多い。眼症状(酒さ性角膜炎、酒さ性結膜炎)を来す場合もある。
第1度酒さ
- 紅斑性酒さ rosacea erythematosa
- 鼻尖、頬、眉間、頤部に、一過性の発赤が出現
- 次第に持続性となり毛細血管拡張と脂漏を伴う
- 寒暖や飲酒で症状が増悪
- 掻痒、ほてり感、易刺激性などの自覚症状がある
第2度酒さ
- 酒さ性ざ瘡 acne rosacea
- 第1度の症状に、毛孔一致性の丘疹、膿疱が加わり、脂漏が 強まる
第3度酒さ
- 鼻瘤 rhinophyma、瘤腫型酒さ phymatous rosacea
- 丘疹が密集融合して腫瘤状となる
- とくに鼻が凹凸不整に隆起して赤紫色を呈し、毛孔が拡大してミカンの皮のような外観となる
鑑別診断
参考
- https://www.ncbi.nlm.nih.gov/pubmed/28972327
[★]
- 英
- rhinophyma
- 同
- 酒さ鼻 brandy nose、赤鼻 copper nose、ざくろ鼻、第三度酒さ