Name of the Condition

• Rhinophyma
• Often referred to as "bulbous nose" or "phymatous rosacea."

Summary

Rhinophyma is a skin disorder characterized by a large, red, bumpy, bulbous nose. It's a subtype of rosacea, a chronic skin condition, and is more commonly seen in men than women. The condition can lead to significant cosmetic concerns but is treatable.

Causes

• Exact causes are not well-known.
• It is associated with rosacea, a chronic inflammatory skin condition.
• Possible contributions include genetic predisposition and chronic inflammation of the sebaceous glands.

Risk Factors

• More common in men than women, typically between the ages of 50-70.
• Fair-skinned individuals are more frequently affected.
• Family history of rosacea can increase risk.
• Lifestyle factors, such as alcohol consumption, may exacerbate symptoms.

Symptoms

• Thickened skin on the nose.
• A bulbous, enlarged appearance of the nose.
• Visible blood vessels on the surface.

• Skin can appear red and bumpy.

  Diagnosis

• Diagnosis is usually made through clinical examination.
• Dermatologists evaluate skin changes and associated rosacea symptoms.
• No specific tests are required but a biopsy might be done to rule out other conditions.

Treatment Options

• Medications: Includes topical and oral antibiotics to reduce inflammation.
• Surgical procedures: Such as electrosurgery or laser therapy to reshape the nose.
• Dermabrasion or cryotherapy: To remove excess tissue and improve appearance.

Prognosis and Follow-Up

• Rhinophyma is benign and primarily affects appearance, not health.
• Regular dermatological follow-ups help manage progression and complications.
• Successful treatment often results in significant cosmetic improvement.

Complications

• If untreated, it can cause psychological distress due to cosmetic disfigurement.
• Severe cases can lead to nasal obstruction.

Lifestyle & Prevention

• Avoiding known triggers of rosacea, like spicy foods and alcohol, may help.
• Use of sunscreen to protect sensitive skin.
• Gentle skin care routine to avoid irritation.

When to Seek Professional Help

• Early symptoms of rosacea should prompt consultation to prevent progression.
• Noticeable changes in the skin texture or appearance of the nose warrant a dermatological assessment.

Additional Resources

• National Rosacea Society: www.rosacea.org
• American Academy of Dermatology: www.aad.org

Tips for Medical Coders

• Ensure accurate documentation of rhinophyma as it is a complication of rosacea.
• Avoid mislabeling it solely as rosacea without acknowledgment of the rhinophyma subtype, which uses ICD code L71.1.