Furukawa M, Kanetou K, Hamada T
Department of Dermatology, Osaka City University Medical School, Japan.
Int J Dermatol. 1994 Jan;33(1):35-7. doi: 10.1111/j.1365-4362.1994.tb01490.x.
Rhinophyma is an end stage of acne rosacea. It results in a large nose due to a proliferation of sebaceous glands and fibrous tissue. Many cases of rhinophyma have been reported in the Western world; however, in Japan, rhinophyma has been an uncommon disease.
We present two patients associated with rhinophyma who were treated by cross-shaped full-thickness excision followed by direct closure and compare the rhinophyma in Japan with that in the West.
To date, only 20 rhinophyma cases including our 2 cases have been reported in Japan. Epidemiologic factors of rhinophyma between the West and Japan do not differ except for location, malignancy and surgical treatment.
In Japan, almost all cases are located on the lower half of the nose, treated by full-thickness excision followed by application of either skin grafts or direct closure. None have been malignant.
酒渣鼻性鼻赘是玫瑰痤疮的终末期。由于皮脂腺和纤维组织增生，导致鼻子肿大。西方世界已报道了许多酒渣鼻性鼻赘病例；然而，在日本，酒渣鼻性鼻赘一直是一种罕见疾病。
我们介绍了两名接受十字形全层切除并直接缝合治疗的酒渣鼻性鼻赘患者，并将日本的酒渣鼻性鼻赘与西方的进行比较。
迄今为止，日本仅报道了包括我们的2例在内的20例酒渣鼻性鼻赘病例。除了位置、恶性程度和手术治疗外，西方和日本酒渣鼻性鼻赘的流行病学因素并无差异。
在日本，几乎所有病例都位于鼻子下半部，采用全层切除，随后进行植皮或直接缝合。无一例为恶性。
