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Rosacea. Erythema and telangiectasia are seen over the cheeks, nasolabial area and nose. Inflammatory papules and pustules can be observed over the nose. The absence of comedos is a helpful tool to distinguish rosacea from acne.
Source publication
Skin diseases on the nose are seen in a variety of medical disciplines. Dermatologists, otorhinolaryngologists, general practitioners and general plastic and dermatologic surgeons are regularly consulted regarding cutaneous lesions on the nose. This article is the second part of a review series dealing with cutaneous lesions on the head and face, w...
Context in source publication
Context 1
... I, also called rosacea erythematosa telangiectasia (pre- rosacea), shows facial flushing and telangiectasia. Stage II, rosacea papulopustulosa (vascular rosacea), is charac- terized by persistent facial erythema, telangiectasia, thickened skin, papules and pustules (Fig 9). Stage III, glandular-hypertrophic or inflammatory rosacea, shows erythematous papules and pustules, telangiectasias, edema, connective tissue and sebaceous gland hyperpla- sia. ...Citations
... Both conditions are influenced by significant risk factors such as fair skin phototype, commonly found in the Caucasian population, and exposure to ultraviolet (UV) radiation [1][2][3]. Additionally, both BCC and rosacea tend to manifest primarily in the central area of the face, particularly the nose [1][2][3][4]. However, rosacea primarily affects young women, typically presenting after the age of 30, while BCC is more commonly seen in elderly males, typically in their seventh or eighth decade of life [3,5]. ...
Introduction
The relationship between rosacea and basal cell carcinoma (BCC) is still not known. Almost all reports questioning the relation between BCC and rosacea are focused on rhinophyma.
Aim
To examine the possible connection of BCC and rosacea.
Material and methods
110 patients with BCC located on the face treated surgically in the Dermatosurgery Unit in 2020-2021 were included in the study. A trained dermatologist assessed the presence or absence of concomitant rosacea and assessed its severity according to the Investigator’s Global Assessment (IGA).
Results
Fifty-one (46.4%) subjects with BCC and concomitant clinically diagnosed rosacea were found. In our group 35.5% of women had BCC located on the cheeks, while in men most cancers were located on the nose (55%, n = 11), however this difference has not reached statistical significance.
Conclusions
The incidence of rosacea in our population was undoubtedly higher, comparing to the normative population. Both rosacea and BCC share the same risk factors – UV exposure, the potential association should not be neglected.
... In facial hemangiomas, 15.8% show involvement of the nose, and the nasal tip is affected in 5.1%. 4,5 We are reporting a rare case of haemangioma at the soft triangle aesthetic subunit of the external nose. ...
Hemangiomas of the nose are very rare lesions.They may be found in both paediatric and adult population.The various modalities of treatment may range from medical management to surgical management.We are reporting a benign vascular lesion near the nasal tip at the soft triangle aesthetic subunit in a 64 year old male which was treated by simple surgical excision using electrocautery and primary closure. Histopathological examination of excised specimen confirmed the diagnosis as hemangioma.
... Since the patient's nose was involved with cutaneous sarcoidosis, there were many considerations regarding the location of the nose and its importance from an aesthetic point of view [7]. The nose is the central part of the middle face and has an essential aesthetic, functional, and psychological role [7]. ...
... Since the patient's nose was involved with cutaneous sarcoidosis, there were many considerations regarding the location of the nose and its importance from an aesthetic point of view [7]. The nose is the central part of the middle face and has an essential aesthetic, functional, and psychological role [7]. ...
... The lesion on our patient's nose mimics rhinophyma due to the clinical features of rhinophyma that were common in our patient. Rhinophyma is characterized by erythema and telangiectasias with progressive enlargement of the nose [7,8]. The diagnosis of Lupus erythematosus was also considered due to its varied expression of the clinical presentation, which can include erythema and telangiectasias [9]. ...
Sarcoidosis is a granulomatous disease that involves multiple systems. Cutaneous involvement can manifest in patients with sarcoidosis and can present with or without systemic involvement. We present a case of cutaneous sarcoidosis in a Syrian woman that showed improvement after a combination of methotrexate and prednisolone therapy. The patient had unusual chest radiography findings and developed an unexplained fissured tongue after 5 days of receiving methotrexate therapy. In addition, the patient developed indurated erythematous plaque and papules on her upper right arm at the same location as a performed biopsy, which increased the diagnosis of a newly formed scar sarcoidosis although she was receiving her treatment.
... Initially, clown nose-like lesion was considered as a indicator of cutaneous metastatic malignancies, including lung cancer (2), renal clear cell carcinoma (3), rhabdomyosarcoma (4), cervical cancer (5), and liver cancer (6). In clinical practice, however, it can also be a cue for genetic syndromes, such as Tricho-Rhino-Phalangeal syndrome (7), as well as some primary nasal diseases including infections such as leishmaniasis (8), inflammations such as rosacea (9), and tumors such as keratoacanthoma (10). ...
Clown nose-like lesion refers to the manifestation of a reddish or skin-colored bulge on the tip of the nose or the manifestation of bulbous tip of the nose. More and more clinical cases show that clown nose-like lesion can also be the indication of some genetic syndromes, not just the manifestation of metastatic visceral tumor as it initially proposed. However, the clinical features of clown nose-like lesion indicated by metastatic malignancies, genetic cancer predisposition syndromes or primary diseases involving the nasal tip are lacking. In this study, patients with clown nose-like lesion in our clinical practices and from published literatures were collected and reviewed. We found that clown nose-like lesions caused by metastatic malignancies including lung cancer are often solitary and more common in male (24/31) older individuals (average age 62.3, ranging 40–78 years old). In addition, they usually appear for a short time, and are prone to be misdiagnosed as primary nasal diseases, leading to a poor prognosis (all patients with data available died within 4 months). Clown nose-like lesions associated with genetic cancer predisposition syndromes usually develop at a young age (mean age 15.3) with female preference (9/10). They are accompanied by multiple-systemic involvements, including low hair volume, developmental delay, cancer predisposition or neurological diseases. They show slow development and often positive family history (6/10). These two kinds of clown nose-like lesions are often asymptomatic, which delays the diagnosis and treatment of underlying malignancies or syndromes. In brief, the term of clown nose-like lesion is underrecognized, and should be updated. Clown nose-like lesions can serve as indicators to at least three categories of clinical issues: metastatic visceral tumors, genetic syndromes, and primary diseases involving the nasal tip. Increased awareness of clinical features of updated clown nose-like lesions can alert physicians to these underlying malignancies or syndromes, render earlier detection of associated medical issues, and allow for genetic counseling of family members.
... Eponymous terms: Cauchois-Eppinger-Frugoni syndrome; Eppinger's spider naevus Alternative terms: portal vein thrombosis; star (spider) angioma (see Sand et al. 2010, Thomas 2016 Hans Eppinger was an Austrian internist, professor, and director of an internal medicine clinic in Vienna. He conducted seawater potability experiments on Gypsy prisoners in the Dachau concentration camp. ...
This work focuses on a specific type of terminological variants, i.e. medical eponymous terms gradually replaced by alternative, noneponymous terms. This descriptive study is conducted on a controlled medical terminology set – the International Classification of Diseases (ICD) of the World Health Organization (WHO). The focus of the study is on the eponymous terms named after physicians associated with the Nazi regime. The aim is to analyse if these eponyms were included in ICD-10 and if they were transferred into the new, 11th version of the Classification. Of all the eponymous terms presented in the paper, seven were found in ICD-10. The overall result of this study indicates that the eponymous terms associated with the Nazi regime have been replaced with alternatives or removed from the 11th version of the International Classification of Diseases in all cases, except for Creutzfeldt-Jakob disease.
... Rhinophyma is a slow-growing and disfiguring enlargement of the nose that primarily occurs in men aged 50-70 years. Established rhinophyma is characterized by a large bulbous nose, wide pores, thick skin, and telangiectasia [2]. It is considered to be a characteristic of an advanced stage of phymatous rosacea. ...
Rhinophyma is a benign condition characterized by a large, bulbous nose with prominent pores. It is commonly associated with untreated cases of rosacea. The disease can carry a substantial psychological impact that causes patients to seek advice about how to improve their physical appearance. Many treatment options are available for rhinophyma, but there is no standard treatment protocol. Here, we describe the case of a 65-year-old man with a large rhinophyma that caused him cosmetic and psychosocial embarrassment. The condition was treated by surgical excision and bipolar electrocautery. No complications occurred after the procedures, and healing was completed 2 weeks later by secondary intention and reepithelialization. A simple surgical removal using a scalpel to shave off the abnormal tissue with electrocauterization of the bleeding points can be considered as a good treatment option for rhinophyma, as it results in an excellent cosmetic outcome and has short recovery time.
... Previous literature has demonstrated other skin conditions mimicking this diagnosis including angiosarcoma, squamous cell carcinoma and sarcoidosis. 2 A 52-year-old woman was referred to ear, nose and throat (ENT) from dermatology for surgical management of rhinophyma. She described a 3-year history of an increasing swelling on the tip of her nose (figure 1). ...
... However, Freudenthal is credited for the term keratoacanthoma based upon acanthosis seen on histology [2]. KA is a benign epithelial tumor originating from pilosebaceous glands (hair follicles) that typically presents as a firm, cone-shaped, flesh-colored nodule with a central horn-filled crater in sun-exposed regions of middle-aged to elderly individuals [3,4]. KA is considered to be a low-grade variant of squamous cell carcinoma (SCC) due to its rapid growth and histologic appearance and, because of this, wide surgical excision has often been the treatment of choice [2,5]. ...
Keratoacanthoma (KA) is a benign epithelial tumor that typically presents as a firm, cone-shaped, flesh-colored nodule with a central horn-filled crater. KA is considered to be a low-grade variant of squamous cell carcinoma (SCC). We report a rare case of a 72-year-old male who presented with a KA involving the nasal septum, possibly related to ranibizumab use. A flesh-colored lesion on the right anterior nasal septum lesion was visualized on examination. Histologic examination revealed a well-circumscribed, dome-shaped central crater filled with keratin, well-differentiated squamous epithelium with ground-glass cytoplasm with pushing margins, and intraepithelial microabscesses establishing the diagnosis of KA. KA of the nasal septum has only been reported once in the literature. This case is unusual because it normally presents on sun-exposed areas. Additionally, this patient was taking ranibizumab, a vascular endothelial growth factor (VEGF) inhibitor for macular degeneration. Despite ranibizumab not being directly linked to precancerous and cancerous skin lesions, agents in this medication class have been. Although it is difficult to prove associations in this isolated case, the role of ranibizumab causing cutaneous lesions should be further investigated.
... BCC is often similar to FPF, and many dermatologist biopsy these lesions to exclude malignancy. 23 Dermoscopic findings of FPF are telangiectasia that can be arborizing, erythema, and milia-like cysts. ...
... Pomimo wysokiego wskaźnika wyleczeń (około 90%), ze względu na odrębności anatomiczne twarzy, leczenie chirurgiczne wiąże się z licznymi trudnościami. Uzyskanie dobrego efektu funkcjonalnego i estetycznego zależy od doboru zindywidualizowanych technik chirurgicznych , znajomości fizjologii skóry, jak również procesów jej starzenia [1,9,16,17]. Szczególnym wyzwaniem jest chirurgiczne leczenie nowotworów skóry nosa. ...
... Nos w przeważającej mierze determinuje zarówno profil, jak i wygląd en face. Ponadto koniec nosa jest punktem stałym i nie powinien on ulec przemieszczeniu w wyniku zamknięcia poresekcyjengo ubytku tkanek [9,17,18]. ...
... Zdecydowanie najczęściej (13 zabiegów) do zamykania rozległych ubytków stosowano płaty miejscowe. W ich planowaniu, oprócz wymienionych już zasad należy kierować się jeszcze jedną: jeśli ubytek skóry nosa przekracza 50% powierzchni danej podjednostki estetycznej zaleca się zastąpienie całej podjednostki tkankami płata [9]. Istnieje wiele sposobów zamknięcia ubytków tkanek nosa płatami z sąsiedztwa. ...
Wstęp: Raki skóry nosa, a w szczególności rak podstawnokomórkowy są najczęstszymi nowotworami ludzi rasy kaukaskiej. Znakomita większość (80−90%) tych guzów rozwija się na narażonej na promieniowanie słoneczne skórze twarzy. Spośród nich największym, ze względów estetycznych, wyzwaniem dla chirurga jest leczenie zmian usytuowanych na nosie.
Cel pracy: Ocena wyników leczenia chirurgicznego raków skóry nosa.
Materiał i metoda: Autorzy retrospektywnie przeanalizowali 23 przypadki raków skóry nosa. Odnotowano i przeanalizowano dane demograficzne, umiejscowienie guzów w podjednostkach estetycznych, metody chirurgiczne oraz wyniki estetyczne i funkcjonalne leczenia.
Wyniki: Do badania włączono 23 chorych (9 mężczyzn i 14 kobiet) z 23 zmianami na skórze nosa. Średni wiek pacjentów wynosił 72±13 lat. Większość guzów naciekała więcej niż jedną podjednostkę estetyczną nosa. Najczęściej stosowaną metodą zamknięcia ubytku poresekcyjnego było wykorzystanie płata podwójnie zrotowanego. U znacznej większości pacjentów uzyskano bardzo dobre wyniki estetyczne i funkcjonalne leczenia.
Wnioski: Najistotniejszym etapem leczenia wydaje się kwalifikacja pacjenta do leczenia chirurgicznego. Dobór właściwej metody rekonstrukcji gwarantuje dobre wyniki estetyczne i funkcjonalne, ale wpływa również pozytywnie na radykalność leczenia.
