Phenytoin induced rhinophyma treated by excision and full thickness skin grafting

A 49-year-old man suffering from post-traumatic epilepsy presented with a s evere rhinophyma probably induced by phenytoin, Initial surgical shaving wa s soon followed by recurrence, formation of intraepidermal cysts and persis tent infection. Ultimate treatment by full thickness excision and a full th ickness skin graft resulted in a pleasing cosmetic result. Radical excision of the affected skin followed by full thickness skin graft nasal reconstru ction should be considered for cases of recurrent severe rhinophyma with in clusion cysts to eradicate chronic infection and improve cosmesis, (C) 2000 The British Association of Plastic Surgeons.