Otophyma, Rhinophyma and Telangiectatic Rosacea – A Rare Combination in a Female Patient
DOI:
https://doi.org/10.3889/oamjms.2017.076Keywords:
Rosacea, Otophyma, Treatment, Surgery, Differential diagnosesAbstract
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.Downloads
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Wollina U. Rosacea and rhinophyma in the elderly. Clin Dermatol. 2011;29:61-68. https://doi.org/10.1016/j.clindermatol.2010.07.009 PMid:21146734
Daniels K, Haddow K. Otophyma: a case report. J Laryngol Otol. 2007;122:524–526. PMid:17517166
Carlson JA, Mazza J, Kircher K, Tran TA. Otophyma: a case report and review of the literature (elephantiasis) of the ear. Am J Dermatopathol. 2008;30:61–72. https://doi.org/10.1097/DAD.0b013e31815cd937 PMid:18212550
Gupta M, Gupta M, Narang T. Otophyma: a rare and frequently misdiagnosed entitiy. Am J Otolaryngol. 2012;31:199–201. https://doi.org/10.1016/j.amjoto.2008.12.008 PMid:20015739
Ekmekci TR, Koslu A, Sakiz D. A case of otophyma. Clin Exp Dermatol. 2005;30:441–442. https://doi.org/10.1111/j.1365-2230.2005.01778.x PMid:15953095
Alcántara-Reifs CM, Salido-Vallejo R, Garnacho-Saucedo G, Vélez GarcÃa-Nieto A. Otophyma: a rare variant of phymatous rosacea. Am J Otolaryngol. 2016;37:251-254. https://doi.org/10.1016/j.amjoto.2016.01.009 PMid:27178518
Shuster M, McWilliams A, Giambrone D, Noor O, Cha J. Otophyma: a rare benign clinical entity mimicking leprosy. Dermatol Online J. 2014;21: pii: 13030/qt41p4q5xq.
Sharma KS, Pollock J, Hasham S, Brotherston TM. CASE REPORT: Treatment of otophyma: Case report and review of the literature. Eplasty. 2013;13:e18. PMid:23641297 PMCid:PMC3624775
Kahn SL, Podjasek JO, Dimitropoulos VA, Brown CW Jr. Excisional debulking and electrosurgery of otophyma and rhinophyma. Dermatol Surg. 2016;42:137-139. https://doi.org/10.1097/DSS.0000000000000560 PMid:26716716
Wollina U. Subantimicrobial-dose doxycycline monohydrate in dermatology. Wien Med Wochenschr. 2015;165:499-503. https://doi.org/10.1007/s10354-015-0399-9 PMid:26564206
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