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Rhinophyoma, rosacea on nose - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
Doctor :   I am Dr AAAAAAA
Doctor :   How can I help you ?
User :   Hi i'm worried i have a rhinophyma i was diagnosed with mild rosacea on my nose 5 wks a go and have been taking antibiotics for it can see some improvement but very concerned with 2 bumps under the skin that seem to be getting bigger and my nose seems bigger then before i was diagnosed i have seen a dermomogist in my are he said this is not rhinophyma and will not develop into it what to u think?
Doctor :   Ok.
User :   Is it rhinophyma cos what i read on the internet sounds similar to my symptoms
User :   hope its not
User :   i mean the dermologist i saw seemed positive that it wasn't but very worried
Doctor :   ok
Doctor :   do you see a pinkish mass on your nose ?
User :   my nose is a pinkish colour from the rosacea
Doctor :   Do you see a any mass on your nose ?
User :   i suppose the tip of the nose does stand out quite a bit from how it was before
Doctor :   Ok
Doctor :   Do you see any pus or blood from the mass >
Doctor :   ?
User :   But i thought this was something that would only come aqbout if it is rhinophyma after many years of having rosacea
User :   no
User :   seems bulky
Doctor :   do you see any enlarged lymph glands any where in the neck /
User :   no
Doctor :   Ok. ThAT Is encouraging.
Doctor :   How about any difficulty in breathing ?
User :   my doctor doesn't seem to want to tell me why these bumps might have occured and if there will clear up with the antibiotics or not
User :   no
User :   do u think these bumps will clear with the antibiotics?
Doctor :   You have to be worried if turns out to be any basal cell carcinoma
User :   whats that?
Doctor :   Other than that there is no need to worry.
Doctor :   It is a skin cancer
User :   More concerned about these bumps then the actually change in colour and the pimples
User :   so u don't think this is rhinophyma?
User :   am i been a drama queen about this?
Doctor :   please follow the foloowing steps as it is difficult for me to diagnose without seeing a pic of the nose
User :   ok
Doctor :   I would suggest 1. Get a small scraping in the lab and get a biopsy done.
Doctor :   2. it could also be a rhinomycosis
Doctor :   a fungal infection which is very commmon.
Doctor :   3. It could also be even Impetigo
Doctor :   So please follow these steps and get it checked by a pth lab.
User :   whats rhinomycosis?
Doctor :   Any diagnosis would be inconclusive without a smear or biopsy.
User :   will the doctors surgeru
User :   be able to do this?
Doctor :   It is dermatomyosis onthe nose
Doctor :   it is done in a path lab if a surgeon has one attached then it can be done.
User :   and if not?
User :   will antibiotics clear these up?
Doctor :   Not just antibiotics, an antifungal is also necessary.
User :   don't think it impetigo had that once so know how that looks
User :   ok cream?
Doctor :   Yeah Clotimazole is the drug of choice
User :   a biopsy what does that involve cutting abit away?
Doctor :   clotrimazole gel.
User :   how long would it take to clear this up?#
User :   So it is something that can be cleared up then?
User :   with the right treatment?
Doctor :   Usually a rhinophyoma is a slf limiting, but sometimes it can get complicated and might need a surgery.
User :   so i haven't got rhinophyoma?>
Doctor :   I can help you better if you can send me a pic.
User :   what do u mean by self limiting? Can't download a picture don't know how to
User :   from my systoms to u think it is?
Doctor :   Pls. send to YYYY@YYYY
Doctor :   I think it might be rhinophyoma.
Doctor :   And all the symptoms suggest the same.
User :   o my god what can be done to treat it ?
User :   How to i actually sent a pic?
User :   cos not good on computer
User :   download
Doctor :   Rhinophyoma is not very dangerous but may hamper the cosmetic part.
User :   yeah
Doctor :   I would get worried if i had basal cell carcinoma and rhinophyoma can be treated very easily.
Doctor :   Please do not worry.
User :   can be treated easily? Should i be making another appoin tment with my dermologist sooner rather then later?
User :   how long does it normally take to treat?
Doctor :   Normally 15-30 days.
User :   with antibiotics?
User :   cos on some at the moment
User :   that don't seem to be working on these bumos
Doctor :   Ok.
Doctor :   Have you also been given Retin-a
User :   no just tetralyson not sure of spelling
Doctor :   it might be tetracyclin
User :   cos when i 1st went to my GP didn't have these bumps to start with
Doctor :   and there is a combination that needs to be given.
Doctor :   with that
User :   yeah thats it will these work on the bumps?
Doctor :   You need to take both oral tetracycline
Doctor :   and retin a ointment
User :   So after a month of treatment will this clear up with right treatment?
Doctor :   Topical vitamin C creams such as SkinC Skin Firming Cream will lessen the redness that is caused by rosacea. It should be applied once a day.
Doctor :   Antibiotics such as MetroGel, MetroCream and sulfur preparations applied to the skin one to two times a day work well for many people with rosacea.
Doctor :   Most of these relent after a month of multi dimensional approach in treatment.
Doctor :   And non-exposure to sunlight and avoiding alleregic foods.
Doctor :   Pls. follow all the steps that i have mentioned and discuss with your GP about them.
Doctor :   And ask him to take a multi-dimensional approach in treatment.
Doctor :   Hope you have followed.
Doctor :   Do you have anything else to ask?
Doctor :   Thank you
Doctor :   take care, bye fro now.
User :   Can i print these instructions out?
Doctor :   Are you there ?
User :   yeah
Doctor :   Yes very much
Doctor :   If you send a mail to YYYY@YYYY , it will auotamatically generate & would send you the whole chat transcript.
Doctor :   May i Know your age please ?
User :   31 so i can't print it from here?
Doctor :   You can take a print out from your account settings.
User :   Account settings?
Doctor :   And from there you can go ahead and view you chat transcription.
User :   which 1 is account settings?
Doctor :   When you log in , you would have created an healthcaremagic account for yourself
User :   yeah
User :   o my god can't believe i have the one i was really scared about
Doctor :   From there itself you can retreive the whole chat transcription.
User :   don't want to look like a freak
Doctor :   Please do not worry.
Doctor :   the latest therapies would change if they do not heal after medical therapy.
User :   if i get it treated quickly it won't get out of hand like those awful pic i have seen on the internet
User :   O my god how can i go from having a normal nose before xmas to this never had any skin problems before
Doctor :   No, it is the beginning, so they get treated fast if treated early.
User :   So it won't turn out awful?
Doctor :   Please do not get panicky.
Doctor :   It wont efffect anything in your life.
User :   o my god felt suicidal before when it was just rosacea i thought i had but now i feel over the edge
User :   It will affect my looks
Doctor :   These days you have CO2 , LASERS,etc. which will totally change the way you ,look.
User :   yeah at what cost?
User :   Once treated it wouldn't come back will it?
Doctor :   No cosmetic and lasers cost a bit high but would rather be permanent cure.
User :   yeah permanent cure is best
User :   o god need to get back to the dermologist fast
Doctor :   Yes, do not worry, first get it properly screened and then think about these .
Doctor :   Do not worry,
Doctor :   Have confidence in yourself.
User :   how much time is needed off wor after laser treatment etc?
Doctor :   Its not more than a week.
User :   so if medicine doesn't cure it then its the laser option?
User :   does the op come with a lot of brusing etc?
Doctor :   No not at all, its a cosmetic one.
Doctor :   latest rhinophyma treatment: microdebrider + floseal
User :   Right so just do it then go no obvious signs that work has been done?
Doctor :   I did not get you .
User :   I mean these bumps are under the skin so not standing out so not to embarrassing but embarrasiing enogh
User :   So unce laser has been done no obvious sign that it has been done?
Doctor :   yes you are right.
User :   At k
Doctor :   no one would know, execpt if you mention.
User :   know what?
User :   about the treatment
Doctor :   Know that you had surgery done
Doctor :   or even the history of a rhinopphyoma

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