Favre-Racouchot Syndrome

Key Points
Skin condition most commonly affecting the elderly
Result of excessive sun exposure and in some cases exacerbated by smoking
Consists of thickened yellow areas of skin accompanied by Comedones around the eyes, temples, or neck

Favre-Racouchot syndrome is a combination of two conditions, most commonly affecting middle-aged or elderly persons. The condition consists of the development of solar Comedones, small nodules resembling acne, in the affected area along with elastosis, which causes the skin of the affected area to become thick and yellow and develop furrows. While the Comedones resemble those in acne, they are generally uninflamed, but are very persistent. Nodules may also be larger in some cases, and can be blackheads or whiteheads. Skin in areas affected with elastosis will often develop a leathery feel from thickening.

Favre-Racouchot Syndrome most commonly appears in middle-aged or elderly persons with a long history of sun exposure. While solar Comedones may appear separately due to sun exposure, it is thought that elastosis is the result of a combination of that sun exposure and heavy smoking.

Differential Diagnosis (Other conditions with similar appearance)
Acne Vulgaris
Colloid Milium
Milia
Sebaceous Hyperplasia
Syringoma
Trichoepithelioma

Diagnosis
Key Points
Diagnosis based on skin appearance
Skin Biopsy may be performed to rule out other conditions

Favre-Racouchot Syndrome is generally diagnosed based on the appearance of symptoms in conjunction. A skin biopsy may be performed to rule out other conditions.

Treatment
Avoiding sun exposure and quitting smoking is key to stop further development
Goal of treatment is to control and reduce symptoms
Several methods of treatment are available to reduce the appearance of comedones
*Comedones may be removed
OTC Options: Sunscreen, protective apparel, mild cleansers, moisturizers

It is important to avoid sun exposure and quit smoking to stop further development of the condition. It is recommended that the affected area be washed often with mild cleansers, and that moisturizers be used to avoid drying of the skin. Health care professionals may prescribe topical retinoid creams to reduce the density of lesions. Additionally, Comedones may be removed surgically if other treatments are unsuccessful. The condition can recur, requiring further treatment.