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Phymatous (Subtype 3) Rosacea
Published in Frank C. Powell, Jonathan Wilkin, Rosacea: Diagnosis and Management, 2008
Frank C. Powell, Jonathan Wilkin
The distribution of the phymatous involvement depends on the area involved, as outlined above. Rhinophyma is often apparent initially at the distal end of the nose as dilated patulous follicles. When rhinophyma becomes marked, it leads to the greatest deformity in this region. Gnathophyma is a rare occurrence with the central chin typically being involved, while the lower half of the helices of the ears and the lobes are mainly affected in otophyma. Edema in this region may be present in severe inflammatory papulopustular rosacea (Fig. 2) but is often overlooked. The forehead is centrally involved in mentophyma (described as being a cushion-like swelling and seen in side view in fig 10) that can also sometimes be seen in patients with facial edema and rosacea when the swelling extends to the medial cheeks and the periocular region. Blepharophyma refers to the swelling of the eyelids, which is usually seen as a component of edematous rosacea, or which may accompany severe papulopustular or ocular rosacea (Fig. 3).
Use of laser therapy in the treatment of severe rhinophyma: a report of two cases
Published in Journal of Cosmetic and Laser Therapy, 2019
Adam Borzęcki, Monika Turska, Beata Strus-Rosińska, Agnieszka Sajdak-Wojtaluk
Most frequently, rhinophyma affects the nose, but may also locate within the chin/jaw (gnathophyma), forehead (metophyma), ear (otophyma), or eyelid (blepharophyma). Factors that may lead to the development of this disease include vascular abnormalities, endocrine disorders, and inflammation of hair follicles in the skin. Most experts believe that the coexistence of Helicobacter pylori infection does not play a role in the etiology of rhinophyma and the disease has a primary inflammatory etiology.