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Rinofima

RosáceaRosácea

Imagen anterior Agrandar Cerrar Próxima imagen

Nariz bulbosa; Nariz - bulbosa; Rosácea fimatosa

Definición

Rinofima es la palabra que se usa para definir una nariz grande y de color rojo (rubicundo). Este tipo de nariz tiene forma de bulbo.

Causas

Alguna vez se pensó que el rinofima era causado por el consumo excesivo de alcohol. Esto no es cierto. Aparece en la misma proporción en personas que no beben y en las que consumen mucho alcohol. Este problema es mucho más común en hombres que en mujeres.

La causa del rinofima se desconoce. Es posible que se trate de una forma grave de una enfermedad cutánea llamada rosácea. Este es un trastorno poco común.

Síntomas

Los síntomas incluyen cambios en la nariz, como:

Forma similar a un bulbo (bulbosa)
Muchas glándulas sebáceas (producen grasa)
Color rojizo (posible)
Engrosamiento de la piel
Superficie amarillenta y cerosa

Pruebas y exámenes

La mayoría de las veces, un proveedor de atención médica puede diagnosticar el rinofima sin ningún tipo de examen. En otras ocasiones, se puede necesitar una biopsia de piel.

Tratamiento

El tratamiento más común es la cirugía para moldear de nuevo la nariz. La cirugía se puede hacer con un láser, un bisturí o un cepillo rotatorio (dermoabrasión). Ciertos medicamentos para el acné también pueden ayudar a tratar esta afección.

Expectativas (pronóstico)

El rinofima se puede corregir con cirugía. Pero puede reaparecer.

Posibles complicaciones

El rinofima puede provocar sufrimiento emocional. Esto debido a la forma en la que luce.

Cuándo contactar a un profesional médico

Comuníquese con su proveedor si tiene síntomas de rinofima y desea hablar acerca del tratamiento.

Referencias

Dinulos JGH. Acne, rosacea, and related disorders. In: Dinulos JGH, ed. Habif's Clinical Dermatology. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 7.

Grande DJ. Rhinophyma. In: Lebwohl MG, Heymann WR, Coulson IH, Murrell DF, eds. Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 6th ed. Philadelphia, PA: Elsevier; 2022:chap 218.

Programe una cita

Actualizado : 11/18/2022

Versión en inglés revisada por : Elika Hoss, MD, Assistant Professor of Dermatology, Mayo Clinic, Scottsdale, AZ. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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