A 55-year-old man complains of a constantly red, swollen nose. He has a history of rosacea and is worried about the changing appearance of his nose. What is your evaluation and plan?
The patient's symptoms are suggestive of rhinophyma, which is a manifestation of phymatous rosacea. This condition can lead to disfigurement of the nose due to excess tissue growth. Treatment options include oral antibiotics to control inflammation, and surgical methods like laser surgery, electrosurgery, or dermabrasion to reshape the nose.