The exact etiology of rhinophyma is unknown. Rhinophyma is a descriptive term for a large, bulbous, ruddy appearance of the nose caused by granulomatous infiltration, commonly associated with rosacea.
Regular alcohol consumption appears to be a risk factor. The term "drinkers nose" is misleading, because the Rhinophyma can also occur in abstinent patients. Histologically we see hypertrophy of the sebaceous glands and fibrosis of the surrounding connective tissue.
In this case, the patient is not alcohol-abstinent, but drinks rarely, the laboratory values ??are unremarkable. The excess tissue was surgically removed.