A 50-year-old man presents with an enlarged, bumpy nose. He states that it has been gradually enlarging over the past few years. What is your evaluation and plan?
This patient's presentation is indicative of phymatous rosacea, a subtype of rosacea that results in skin thickening and enlargement of the nose, a condition known as rhinophyma. Initial management typically includes oral antibiotics to control inflammation and may require surgical treatments, such as dermabrasion, laser surgery, or electrosurgery, to reduce the excess tissue.