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SKINDIA QUIZ
Year : 2016  |  Volume : 7  |  Issue : 4  |  Page : 350-352  

SkIndia Quiz 27: Rhinophyma and numerous facial papule and nodules in a 39-year-old woman


1 Department of Dermatology, Venereology, Leprosy, Dr. R.P. Government Medical College, Kangra, Tanda, Himachal Pradesh, India
2 Department of pathology, Dr. R.P. Government Medical College, Kangra, Tanda, Himachal Pradesh, India

Date of Web Publication5-Jul-2016

Correspondence Address:
Vikram K Mahajan
Department of Dermatology, Venereology and Leprosy, Dr. R.P. Government Medical College, Kangra, Tanda - 176 001, Himachal Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5178.182404

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How to cite this article:
Mahajan VK, Sharma AL, Chauhan PS, Mehta KS, Sharma S. SkIndia Quiz 27: Rhinophyma and numerous facial papule and nodules in a 39-year-old woman. Indian Dermatol Online J 2016;7:350-2

How to cite this URL:
Mahajan VK, Sharma AL, Chauhan PS, Mehta KS, Sharma S. SkIndia Quiz 27: Rhinophyma and numerous facial papule and nodules in a 39-year-old woman. Indian Dermatol Online J [serial online] 2016 [cited 2019 Dec 5];7:350-2. Available from: http://www.idoj.in/text.asp?2016/7/4/350/182404

A 39-year-old female presented with numerous papulonodular lesions over face appearing since the age of 7 years. These had been asymptomatic and relatively stable in size and number until 3-4 years back when she noticed a coalescence of lesions over her mid face/nasal bridge and progressive enlargement of her nose. Her medical history was unremarkable. Her 23-year-old daughter had also beginning to develop similar lesions over the face since the age of 17 years. Her parents, one male sibling, two sons, and another daughter were reportedly healthy. Physical examination showed rhinophyma-like enlarged nose and innumerable, 2-10 mm sized, skin-colored, smooth surfaced, papules, and nodules involving the whole face [Figure 1]. The glabella, periocular, nasal bridge, alae nasi, nasolabial folds, perilabial and chin were involved predominately. Her daughter also had few lesions of similar morphology over the nose and nasolabial folds. The findings of hematoxylin and eosin stained histology sections of a nodular lesion are shown in [Figure 2] and [Figure 3].
Figure 1: Rhinophyma and innumerable skin-colored, smooth surfaced, papulo-nodular lesions over the whole face, predominately involving the nasal bridge, alae nasi, and nasolabial folds

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Figure 2: Multiple, well-circumscribed nests, lobules and cords separated by fibrous stroma. Calcification of cystic material (thick arrow), and primitive hair shaft-like structures (thin arrow) are seen (H and E, ×10)

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Figure 3: Well-circumscribed nests of palisading basaloid cells, without pleomorphism, cellular atypia or mitosis are seen and suggest well-differentiated trichoepitheliomas (H and E, ×40)

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   References Top

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