Granulosis rubra nasi from plastic surgery perspective

Author:

Almutairi Rahaf H1,Shah Mardan Qutaiba N M2,Al Qurashi Abdullah A34,Mrad Mohamed Amir56

Affiliation:

1. College of Medicine, Imam Mohammad Ibn Saud Islamic University , Riyadh, Saudi Arabia

2. Plastic and Reconstructive Surgery Department, Hamad General Hospital, Hamad Medical Corporation , Doha, Qatar

3. College of Medicine, King Saud bin Abdulaziz University for Health Sciences , Jeddah, Saudi Arabia

4. King Abdullah International Medical Research Center , Jeddah, Saudi Arabia

5. Plastic and Reconstructive Surgery Section , Department of Surgery, , Riyadh, Saudi Arabia

6. King Faisal Specialist Hospital & Research Centre , Department of Surgery, , Riyadh, Saudi Arabia

Abstract

Abstract Affecting the eccrine glands, granulosis rubra nasi (GRN) is an inherited disorder that manifests itself as redness, sweating, and papules distributed mainly in the center of the face. It is diagnosed clinically and the cornerstone of management is reassurance and education about the benign nature of the condition. A wide array of treatment modalities has been proposed, such as Botox and corticosteroids injections; however curative measures are yet to be discovered. In this paper, we present a case of a 26-year-old man complaining of chronic nose sweating. The case was successfully managed with Botox injections, though we suggested our theory of undercutting the glands through aggressive defatting as part of open rhinoplasty to the patient; he declined our suggested modality. It remains an untested option and caution should be exercised in high-risk patients to avoid compromising blood supply to the skin and risking skin necrosis.

Funder

Qatar National Library

Publisher

Oxford University Press (OUP)

Reference9 articles.

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2. Granulosis rubra nasi: a rare condition treated successfully with topical tacrolimus;Kumar;Dermatol Rep,2012

3. Granulosis Rubra Nasi in a mother and daughter;Hellier;Br Med J,1937

4. Treatment of granulosis rubra nasi with botulinum toxin type a;Grazziotin;Dermatol Surg Off Publ Am Soc Dermatol Surg Al,2009

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