Authors: Maria Criselda C. Valerio, MD, Patricia Anne Nicole Ramirez-Ecarma, MD, Vilma O. Pelino, MD, FPDS, Milali T. Torres, MD, FPDS, Dee Jay B. Arcega, MD, FPDS
Introduction: Rhinophyma is a slowly progressive enlargement of the nose with irregular thickening of the skin and nodular deformation. This reflects the hypertrophy of the sebaceous glands in nasal skin. It occurs almost exclusively in middle-aged to elderly Caucasian men with a male predominance of 5:1. Exact pathogenesis remains unknown.
Case Summary: This is a rare case of a 57-year-old Filipino male who presents with a 1-year history of gradually enlarging mound of papules and nodule on the lower 2/3 of the nose associated with erythema, aggravated by exposure to heat or after intake of spicy food and drink. Skin punch biopsy revealed histopathologic findings consistent with Rhinophyma. Patient underwent Ablative and Fractional CO2 laser, a recommended treatment for moderate to severe rhinophyma. The patient underwent 2 sessions of Ablative CO2 laser for debulking and 2 sessions of Fractional CO2 laser for resurfacing resulting into a reported 85% improvement of lesions.
Conclusion: Rhinophyma is a chronic condition with no spontaneous resolution. Variety of external factors can aggravate the manifestation of the disease. Treatment of choice includes oral isotretinoin for mild rhinophyma and combination of oral isotretinoin and surgery for moderate to severe rhinophyma. Variety of surgical procedures are available with CO2 laser having the advantage of excellent hemostatic effect, better intraoperative visualization, minimal complications and satisfactory cosmetic results.
rhinophyma, phymatous rosacea, rosacea, fractional CO2 laser
Authors: Katrina Carmela M. Belen, MD, DPDS, Jasmin J.Jamora, MD, FPDS , Ma. Cecilia P. Ingente MD, DPDSAbstractBackground: Dermoscopy, a non-invasive diagnostic tool, has been proven to improve the diagnostic accuracy of vascular tumors since it can aid in...
A randomized, double-blind, comparative study on the safety and efficacy of virgin coconut (Cocos nucifera l.) oil against 1% hydrocortisone lotion as an anti-inflammatory and antipruritic preparation for mosquito reactions
Authors: Uy, Veronica S, MD; Gracia B. Teodosio, MD, FPDS; Ma. Teresita G. Gabriel, MD, FPDS; Mary Catherine T. Galang, MD; Mohammad Yoga A. Waskito, MD; Johannes F. Dayrit, MD, FPDS Abstract Background: Virgin coconut oil (VCO) has been reported...
Primary Cutaneous Anaplastic Large Cell Lymphoma (PC-ALCL) is a rare Non-Hodgkin lymphoma (NHL) representing approximately 9% of all cutaneous lymphomas.3 It usually manifests as a slow-growing, solitary tumor which has a tendency to regress spontaneously. However, metastasis is reported in 5-10% of cases.