title: Gnatophyma: a rare variant of phyma.
abstract: We report a case of a 44-year-old woman with an 8-year history of gnatophyma. Rosacea is a facial dermatosis that may present as flushing, erythema, telangiectases, papules, pustules and phyma. Phyma is considered the final evolution stage of rosacea and is a rare variant. Treatment of phyma with atypical localization may be a challenge for dermatologists in clinical practice.
authors.affiliation: Dermatology Service, Hospital Complex Padre Bento de Guarulhos, São Paulo, Brazil.
authors.forename: M R
authors.initials: MR
authors.lastname: Vidigal
authors.forename: C T
authors.initials: CT
authors.lastname: Kakihara
authors.forename: T R S R
authors.initials: TR
authors.lastname: Gatti
authors.forename: A J
authors.initials: AJ
authors.lastname: Tebcherani
authors.forename: M C
authors.initials: MC
authors.lastname: Pires
mesh_terms: D000328:Adult; D000818:Animals; D019557:Dermatitis, Perioral / Q000469:parasitology*; D004478:Ectoparasitic Infestations / Q000150:complications*; D005145:Face; D005260:Female; D006801:Humans; D008046:Lip; D008924:Mite Infestations / Q000150:complications*; D008925:Mites; D012393:Rosacea / Q000469:parasitology*