Results 1 to 10 of 10

Thread: Is this Rhinophyma???

  1. #1
    Senior Member
    Join Date
    Aug 2011
    Posts
    242

    Default Is this Rhinophyma???

    Is this rhinopyhma?

    Please look through these pictures and let me know what you think. I am at my wits end. No doctor understand this strange skin texture and the lines I am getting. They don't "see" it really or say what it could be. Had pink skin started a year ago it was bright scary red then on it's own died down to light pink and has gotten lighter in the areas that are pink, but then a few months ago I started noticing my skin texture was horrendous on my front cheeks down to my chin area and also a bit on my forehead and then it grew worse day by day. The skin in that area seems so weak like cottage cheese with strange soft dents and lines. I can't rub too much or the skin feels like it's splitting.

    I experience slight pain like pricking and like someone is slitting my skin with a tiny knife in the front cheeks down to the chin area. I used to experience some crawling. The skin seems a little raised or elevated in two areas on the cheeks, but it could just be bumps i am not sure. And my chin doesn't really have much redness..not too much pink either.

    Forehead isn't too pink either. but the central part of the forehead has the strange skin texture I am describing.

    I just don't what is going on anymore to cause this strange skin texture and the lines and soft dents and soft cottage cheese kind of skin texure.

    You can see the slits and lines and strange skin texture in these pictures where I am wearing make-up:

    http://s1111.photobucket.com/albums/...t=IMG_2619.jpg
    http://s1111.photobucket.com/albums/...3DIMG_2620.jpg
    http://s1111.photobucket.com/albums/...3DIMG_2704.jpg
    http://s1111.photobucket.com/albums/...Dphoto6new.jpg
    http://s1111.photobucket.com/albums/...t%3Dphoto1.jpg
    http://s1111.photobucket.com/albums/...t%3Dphoto5.jpg

    How it use to look:
    http://s1111.photobucket.com/albums/...3DIMG_0101.jpg
    http://s1111.photobucket.com/albums/...3DIMG_0101.jpg
    http://s1111.photobucket.com/albums/...3DIMG_0121.jpg

    How it looks now without makeup:
    http://s1111.photobucket.com/albums/...3DIMG_0908.jpg
    http://s1111.photobucket.com/albums/...3DIMG_0909.jpg
    http://s1111.photobucket.com/albums/...3DIMG_0912.jpg
    http://s1111.photobucket.com/albums/...3DIMG_0914.jpg
    http://s1111.photobucket.com/albums/...3DIMG_0916.jpg
    http://s1111.photobucket.com/albums/...3DIMG_0917.jpg
    http://s1111.photobucket.com/albums/...3DIMG_0917.jpg
    http://s1111.photobucket.com/albums/...3DIMG_0938.jpg

  2. #2
    Senior Member Brady Barrows's Avatar
    Join Date
    Jun 2005
    Location
    Centre, Alabama, USA
    Posts
    4,967

    Default

    Birdsing,

    I checked and didn't see any photo of your nose, so you might want to read up on Rhinophyma or Subytype 3 by clicking here.

    What did your physician diagnose you with?

    What treatment are you using for this now?
    Brady Barrows
    Join the RRDi

  3. #3
    Senior Member
    Join Date
    Aug 2011
    Posts
    242

    Wink

    Quote Originally Posted by Brady Barrows View Post
    Birdsing,

    I checked and didn't see any photo of your nose, so you might want to read up on Rhinophyma or Subytype 3 by clicking here.

    What did your physician diagnose you with?

    What treatment are you using for this now?
    Hi! My nose has not yet been affected by pinkness or strange skin texture. I am not sure if what i have will eventually spread to the nose.

    Does the skin in the pictures I posted look like rhinophyma?

    My derm says he sees no strange skin texture and that my skin look fine as far as texture goes. he gave me permethrin for demodex folliculorun and then Eurax. otherwise that's all the help he has given me.

    I recently asked for metronidazole and he gave me a prescription. I have not started yet.

  4. #4
    Senior Member
    Join Date
    Aug 2011
    Posts
    242

    Default

    I would appreciate it if someone could please tell me if they think this is rhinophyma. I need some ideas to give the derm because he obviously has no thoughts.

  5. #5
    Senior Member Brady Barrows's Avatar
    Join Date
    Jun 2005
    Location
    Centre, Alabama, USA
    Posts
    4,967

    Default

    Birdsing,

    If you read the post I mentioned earlier you would have discovered that Subtype 3 is rare, does not necessarily progress in stages (Subtype 1 into Subtype 2 into Subtype 3 into Subtype 4), is even more rare occurring in females. So just because you have been diagnosed with rosacea does not mean it will necessarily progress into rhinophyma. Some past papers on rhinophyma suggest that it is the end stage of rosacea but this has been shown to be not accurate. If you are being treated for rosacea the likelihood of developing rhinophyma is not likely. Besides, without a photo of your nose, it would be difficult, if not impossible to even guess if you are developing rhinophyma, even if it were possible to diagnose it over the internet (which is not possible anyway - see this post).

    Did your dermatologist diagnose you with demodectic rosacea? Or did you get a different diagnosis, such as scabies?

    Eurax (Crotamiton) has been used to treat scabies. Is this oral or topical?

    What else have you been treated with for this condition besides the permethrin and eurax? Is the Permethrin oral or topical?
    Last edited by Brady Barrows; 7th June 2012 at 06:15 AM.
    Brady Barrows
    Join the RRDi

  6. #6
    Senior Member
    Join Date
    Aug 2011
    Posts
    242

    Default

    Quote Originally Posted by Brady Barrows View Post
    Birdsing,

    If you read the post I mentioned earlier you would have discovered that Subtype 3 is rare, does not necessarily progress in stages (Subtype 1 into Subtype 2 into Subtype 3 into Subtype 4), is even more rare occurring in females. So just because you have been diagnosed with rosacea does not mean it will necessarily progress into rhinophyma. Some past papers on rhinophyma suggest that it is the end stage of rosacea but this has been shown to be not accurate. If you are being treated for rosacea the likelihood of developing rhinophyma is not likely. Besides, without a photo of your nose, it would be difficult, if not impossible to even guess if you are developing rhinophyma, even if it were possible to diagnose it over the internet (which is not possible anyway - see this post).

    Did your dermatologist diagnose you with demodectic rosacea? Or did you get a different diagnosis, such as scabies?

    Eurax (Crotamiton) has been used to treat scabies. Is this oral or topical?

    What else have you been treated with for this condition besides the permethrin and eurax? Is the Permethrin oral or topical?

    The dermatologist never really said exactly a diagnosis. He said maybe rosacea. He found demodex folliculorum and gave me Permethrin topical not oral. He thought this would go away after 2 uses of permethrin.....which it obviously didn't. I also tried oral ivermectin. Eurax was given to me as a topical too. I had to ask for that one. I only used eurax once because the smell was so intoxicating for me.

    He did not say it was scabies. I did see the computer one time during an appointment and the doctor had written folliculitis on my chart.

    I am starting to get nummular eczema on my body now and am worried this is connected to whatever is happening on my face. Or is a result of the use of permethrin or eurax.

  7. #7
    Senior Member Brady Barrows's Avatar
    Join Date
    Jun 2005
    Location
    Centre, Alabama, USA
    Posts
    4,967

    Default

    Folliculitis can be anywhere on the body with the exception of the palms of the hands and soles of the feet. Pityrosporum folliculitis (Malassezia folliculitis) is a rosacea mimic and the cases are mostly female. You mention you also have nummular eczema. Did you get a diagnosis for this from a physician? Eczema (dermatitis) is also a rosacea mimic and can co-exist with rosacea. You might want to discuss with your physician what the actual diagnosis is. Since you mention demodex, the link on demodectic rosacea is helpful. I think the odds are you do not have nor will you develop rhinophyma and is not worth worrying about since you have enough on your plate to deal with already. You should re-visit your dermatologist and complain about the treatment or get a second opinion. It might be helpful to review these posts about diagnosing rosacea.
    Brady Barrows
    Join the RRDi

  8. #8
    Senior Member
    Join Date
    Aug 2011
    Posts
    242

    Default

    Quote Originally Posted by Brady Barrows View Post
    Folliculitis can be anywhere on the body with the exception of the palms of the hands and soles of the feet. Pityrosporum folliculitis (Malassezia folliculitis) is a rosacea mimic and the cases are mostly female. You mention you also have nummular eczema. Did you get a diagnosis for this from a physician? Eczema (dermatitis) is also a rosacea mimic and can co-exist with rosacea. You might want to discuss with your physician what the actual diagnosis is. Since you mention demodex, the link on demodectic rosacea is helpful. I think the odds are you do not have nor will you develop rhinophyma and is not worth worrying about since you have enough on your plate to deal with already. You should re-visit your dermatologist and complain about the treatment or get a second opinion. It might be helpful to review these posts about diagnosing rosacea.
    Hi Brady. Thank you so much for this info. It was really helpful. Yes, I have nummular eczema on my foot diagnosed by dermatologist. I saw a few very small spots on my legs two nights ago but by the morning they basically disappeared. The dermatologist said it looks like nummular eczema I have on my foot. I have not been putting anything on it and it seems to be fading on it's own....very confused about that. In fact, today the two coin shaped spots on my foot seem even more less noticeable. This leads me to believe I developed them from dry skin (which I do have very dry skin) or from an allergy to something. They started after I scratched myself there too.

    Who knows, but the eczema seems to be receding at least for now. My mother says she developed eczema once like mine once too and the doctor told her it was an allergy to something and told her to buy some kind of soap she does not remember. She used this soap and the eczema disappeared.

    I have tossed the idea around of having eczema on my face, but I don't think it looks like it and no dermatologist has said so. I have been to 5 dermatologists now. I have also thought about it being pittyrosporum folliculitis. How can I be tested for that and also for seb derm? Do I need a biopsy or a skin scraping would be sufficient?

    Finacea made my skin WORSE in a matter of two days. I developed a new pink patch of skin from it and it still hasn't gone away. Sodium Sulfacetamide sulfur wash seemed to quickly start making my skin look better, but I stopped using it because of the bad side effects of sulfacetamide. Water also seems to temporarily make the skin look a bit better. Metronidazole quickly made my skin redder so I also stopped using it. Xin Fumanling cream from Demodex Solutions for some reasons doesn't make my skin red like .75% metrocream does....but it has 3%!! That confuses me.....

    I think you are right about the rhinophyma. Then, do you have any ideas why my skin looks so crepey, has all these lines and dents on my front cheeks down to my chin? Is there any skin condition that might possibly cause this?

    Pictures that come eerily close to the damaged skin texture I have happens to only be pictures of people I find on realself.com who have used IPL or some laser on their face and it ruined their skin. BUT I have not had any lasers on my face......

    The harshest thing I can think of that I have used on my face during the last year would be ketaconazole shampoo for five mins and then rinse off and also tea tree oil which I applied undiluted about 10-12 times a day. I noticed I developed a line after using the tea tree oil on one part of my face, it literally appeared as I was putting the tea tree oil on and it kind of hurt like a slit in my skin happened. Perhaps the use of tea tree oil damaged the texture of certain areas on my skin. Not sure. Once I switched to a better tea tree oil brand from Australia, the skin on my face started looking less red on my temples mainly and less bumpy from the use of tea tree oil. I could tell the store bought one I used previously was awful and probably not all tea tree oil or not even tea tree oil at all. It was by desert essence.

    Thank you so much for reading my post and I hope you can answer my questions!
    Last edited by birdsing; 8th June 2012 at 04:18 PM.

  9. #9
    Senior Member
    Join Date
    Aug 2011
    Posts
    242

    Default

    Quote Originally Posted by Brady Barrows View Post
    Folliculitis can be anywhere on the body with the exception of the palms of the hands and soles of the feet. Pityrosporum folliculitis (Malassezia folliculitis) is a rosacea mimic and the cases are mostly female. You mention you also have nummular eczema. Did you get a diagnosis for this from a physician? Eczema (dermatitis) is also a rosacea mimic and can co-exist with rosacea. You might want to discuss with your physician what the actual diagnosis is. Since you mention demodex, the link on demodectic rosacea is helpful. I think the odds are you do not have nor will you develop rhinophyma and is not worth worrying about since you have enough on your plate to deal with already. You should re-visit your dermatologist and complain about the treatment or get a second opinion. It might be helpful to review these posts about diagnosing rosacea.
    Brady, do you know if Benzyl benzoate is something I should order online or is this something that my dermatologist can prescribe? I thought it wasn't available as prescription in the US? Please let me know!

  10. #10
    Senior Member
    Join Date
    Aug 2011
    Posts
    242

    Default

    Quote Originally Posted by Brady Barrows View Post
    Folliculitis can be anywhere on the body with the exception of the palms of the hands and soles of the feet. Pityrosporum folliculitis (Malassezia folliculitis) is a rosacea mimic and the cases are mostly female. You mention you also have nummular eczema. Did you get a diagnosis for this from a physician? Eczema (dermatitis) is also a rosacea mimic and can co-exist with rosacea. You might want to discuss with your physician what the actual diagnosis is. Since you mention demodex, the link on demodectic rosacea is helpful. I think the odds are you do not have nor will you develop rhinophyma and is not worth worrying about since you have enough on your plate to deal with already. You should re-visit your dermatologist and complain about the treatment or get a second opinion. It might be helpful to review these posts about diagnosing rosacea.
    Also, one more question, where could I purchase camphor oil and glycerol for diluting the camphor oil? Will a health store have both or do you know of anything I can get online? I may also give this a try.

Similar Threads

  1. rhinophyma
    By Brady Barrows in forum Photos
    Replies: 15
    Last Post: 17th October 2011, 11:43 PM
  2. Could this be Rhinophyma?
    By CJBAY in forum Phymatous rosacea (Rhinophyma)
    Replies: 7
    Last Post: 26th November 2009, 05:26 PM
  3. rhinophyma
    By cbebe28 in forum General rosacea questions
    Replies: 29
    Last Post: 7th January 2009, 07:39 PM
  4. Rhinophyma
    By Evyne in forum Phymatous rosacea (Rhinophyma)
    Replies: 4
    Last Post: 6th January 2009, 12:53 PM
  5. rhinophyma
    By sadkid98989 in forum General rosacea questions
    Replies: 7
    Last Post: 6th September 2008, 08:12 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •