Celio MJJ, Hernández CD, Zanatta MJA, Osnaya IC

Language: Spanish
References: 16
Page: 176-180
PDF size: 140.91 Kb.

ABSTRACT

Rosacea is a chronic dermatosis of unknown origin, located mainly in the face, characterized by a vascular component and acne like episodes. Rhinophyma represents the hyperplasic stage of the Rosacea acne. The basic nasal characteristics are thickened and irregular lobulated appearance, red-purple color and expanded pores. Several factors have been proposed: genetics, sunlight, heat, cold, steroids, and alcohol consumption (not demonstrated) presence of Helicobacter pylori, infectious and seborrheic factors and a reaction of hypersensitivity to incursive Demodex folliculorum acarus. The case analyzed involves a 56 year-old man with a previous history of weekly alcoholism. His rosacea began 10 years previous to its assessment with dermatosis on the nose, erythema, seborrhea, expanded pores, telangiectasias, the progressive increase of volume and nasal thickening of dorsum, tip and wings led to the obstruction of the aerial and difficulty in swallowing. He received surgical treatment with a radiofrequency Ellman TM generator in a frequency from 3.8 to 4.0 MHz, tangential excision was performed of the whole hyperplasic tissue, preserving the normal skin, the nasal cartilage-bone frame and the remains of the pilosebaceous complex. No early or delayed postoperative complications were reported.

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