Rosacea glandular-hyperplasticL71.8

Author:Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

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Synonym(s)

phymatous rosacea

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DefinitionThis section has been translated automatically.

Late stage of rosacea (stage III rosacea), which usually presents with other symptoms of rosacea

Occurrence/EpidemiologyThis section has been translated automatically.

Phymbogenesis occurs almost exclusively in men.

Clinical featuresThis section has been translated automatically.

The clinical picture is characterized by hyperplasia of sebaceous glands and connective tissue. This can lead to a diffuse, bulging coarsening of the skin relief, or to circumscribed nodular changes (phymogenesis) which occur mainly on the nose (see below: rhinophyma), cheeks, chin(gnathophyma), forehead(metophyma), ears(otophyma) or very rarely on the eyelids (blepharophyma).

Note(s)This section has been translated automatically.

It is still unclear whether the formation of phymas is associated with an increased risk for the development of basal cell carcinomas.

LiteratureThis section has been translated automatically.

  1. Alcántara ripening CM et al.(2016) Otophyma: a rare variant of phymatous rosacea. At J Otolaryngol 37:251-254.
  2. Dahl MV (2004) Rosacea subtypes: a treatment algorithm. Cutis. 2004 Sep;74 (3 Suppl):21-27. https://www.ncbi.nlm.nih.gov/pubmed/15499755
  3. Hopkinson D et al(2015) Assessment of rosacea severity: A review of evaluation methods used in clinical trials. J Am Acad Dermatol 73:138-143. https://www.ncbi.nlm.nih.gov/pubmed/25799418
  4. Strauss RM et al (2006) An oedematous lesion in the nasolabial fold. Diagnosis: phymatous lesion with underlying rosacea. Clin Exp Dermatol 31:729-730.
  5. Voth H et al (2013) Phymatous transformation of facial cutaneous vascular malformations: clues to phyma pathogenesis. JAMA Dermatol. 149:368-369.

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer