Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
183 Doctors are Online

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 : 40 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

Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor