Otophyma, Rhinophyma and Telangiectatic Rosacea â€“ A Rare Combination in a Female Patient

Uwe Wollina; Torello Lotti; Georgi Tchernev

doi:10.3889/oamjms.2017.076

Authors

Uwe Wollina Department of Dermatology and Allergology at the Academic Teaching Hospital Dresden-Friedrichstadt in Dresden
Torello Lotti Universitario di Ruolo, Dipartimento di Scienze Dermatologiche, UniversitÃ Degli Studi di Firenze, FacoltÃ di Medicina e Chirurgia, Dermatology, Rome 00186
Georgi Tchernev Polyclinic for Dermatology and Venerology, University Hospital Lozenetz, Academic Educational Hospital of the Saint Kliment Ohridski University, Medical Faculty, Koziak Street 1, Dermatology, Venereology and Dermatologic Surgery; Onkoderma, Private Clinic for Dermatologic Surgery, Dermatology and Surgery, Sofia 1407

DOI:

https://doi.org/10.3889/oamjms.2017.076

Keywords:

Rosacea, Otophyma, Treatment, Surgery, Differential diagnoses

Abstract

BACKGROUND: Rosacea is an inflammatory facial dermatosis seen more frequently in adults in their second half of life. The phymas are a particular subtype with sebaceous gland hyperplasia and progressive fibrosis.

CASE REPORT: We report on the rare simultaneous occurrence of telangiectatic rosacea, otophyma and rhinophyma in a 50-year-old female with psoriatic arthritis, chronic lymphedema of the legs, and metabolic syndrome.

CONCLUSION: Despite the preference of rhinophyma and otophyma to the male gender, their occurrence in females needs to be considers in the differential diagnosis of dermatoses of head and neck. Early diagnosis and appropriate medical treatment improve outcome and help to avoid surgery.

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