A Rhino’s Horn on Her Head! | Dr

A Rhino’s Horn on Her Head! | Dr

Please scroll down to watch the video.👇👇

It sounds like you’re referring to “A Rhino’s Horn on Her Head!” — a notable episode from the show Dr. Pimple Popper, where Dr. Sandra Lee treats a patient with a cutaneous horn.

🧬 What Is a Cutaneous Horn?

A cutaneous horn is a conical projection of keratin (the same protein found in nails and hair) that looks like a horn growing out of the skin. It may be:

• Benign (like a wart)

• Premalignant (like actinic keratosis)

• Or even malignant (like squamous cell carcinoma)

➤ Appearance:

• Rigid, horn-like structure

• Usually painless unless infected

• Can appear on sun-exposed areas: face, scalp, hands

📚 Reference:
Yu RC, Pryce DW, Macfarlane AW, Stewart TW. “A histopathological study of 643 cutaneous horns.” Br J Dermatol. 1991.

🧑‍⚕️ How It’s Treated by Dr. Pimple Popper:

1. Examination & Diagnosis

• Dr. Lee conducts a full physical and medical history.

• Biopsy may be done to rule out cancer.

2. Removal Procedure

• Local anesthesia applied

• Horn removed using a scalpel or surgical scissors

• The base is cauterized or excised

• In some cases, sutures or wound closure strips applied

📚 Clinical Standard:
Dermatologic Surgery Guidelines – American Society for Dermatologic Surgery (ASDS)

3. Lab Testing

• The removed tissue is sent to a pathology lab to:

  • Confirm it’s benign

  • Check for precancerous or cancerous cells

🧠 Why It’s Called a “Rhino Horn” in the Episode

The name is dramatic, but accurate — the horn in this case is:

• Thick, long, and curled, resembling a rhinoceros horn

• Years in the making, often due to neglect or fear of treatment

📺 Where to Watch

• Dr. Pimple Popper – Season 3, Episode 4 (“A Rhino’s Horn”)

• Available on TLC, Discovery+, and YouTube clips

  Certainly! Let’s dive deeper into “A Rhino’s Horn on Her Head!” — a dramatic yet medically significant case featured on Dr. Pimple Popper, which centers around the removal of a cutaneous horn.

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  🧬 WHAT IS A CUTANEOUS HORN?

  🔍 Definition:

  A cutaneous horn is a hard keratinous skin growth, resembling a horn, that protrudes from the skin. While it may look alarming, it is a reaction pattern, not a diagnosis.

  🧾 It can arise from:

  • Benign lesions (seborrheic keratosis, viral warts)

  • Premalignant lesions (actinic keratosis)

  • Malignant lesions (squamous cell carcinoma)

  📚 Medical Reference:
  Yu RC, Pryce DW, Macfarlane AW, Stewart TW. “A histopathological study of 643 cutaneous horns.” British Journal of Dermatology.

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  🧑‍⚕️ CASE CONTEXT: DR. PIMPLE POPPER

  In Dr. Pimple Popper (TLC, Season 3), a woman presents with a large, conical horn-like growth on her forehead, which:

  • Is composed of hardened keratin

  • Has been growing for years

  • Causes social embarrassment and concern for malignancy

  Dr. Sandra Lee evaluates it thoroughly with:

  • Visual inspection

  • Tactile examination (to assess rigidity, base width, and mobility)

  • Patient history (onset, trauma, sun exposure, etc.)

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  🛠️ TREATMENT PROCESS

  1. Biopsy or Clinical Diagnosis

  • Biopsy at the base of the horn is crucial to determine if it’s malignant.

  • About 20–25% of cutaneous horns are associated with skin cancer, especially squamous cell carcinoma.

  📚 Source:
  Bondeson J. “Cutaneous horns: a historical review.” Am J Dermatopathol. 2001;23(4):362–9.

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  2. Surgical Removal

  • Local anesthesia is applied.

  • The horn is excised at its base using a scalpel or surgical scissors.

  • Underlying skin may be removed if suspicious.

  • Electrocautery or sutures are used to close the wound.

  📚 Standard of Care:
  Habif TP. Clinical Dermatology: A Color Guide to Diagnosis and Therapy. 6th ed. 2015.

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  3. Post-Op Wound Care

  • Wound is dressed with antibiotic ointment.

  • Follow-up is done to check for infection or recurrence.

  • If malignancy is detected, further excision or oncology referral may be necessary.

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  ⚠️ WHY EARLY TREATMENT IS IMPORTANT

  Though they may look like just “weird skin horns,” cutaneous horns may conceal serious underlying issues, including:

  • Sun-induced damage

  • Invasive skin cancers

  • Chronic irritation or trauma zones

  📚 Reference for Risk Management:
  Sanchez Yus E, et al. “Cutaneous horns: A clinicopathological study.” Am J Dermatopathol. 1991.

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  🔗 WATCH & LEARN

  Episode Title: “A Rhino’s Horn”
  Show: Dr. Pimple Popper (TLC)
  Platform: TLC, Discovery+, YouTube (highlights)

  You can search:
  🔍 “Dr. Pimple Popper Rhino Horn episode TLC” on YouTube or Discovery+ for clips and full episodes.