Favre-Racouchot Syndrome (Nodular Elastosis With Cysts and Comedones)

Updated: Jan 23, 2017
  • Author: Robert P Feinstein, MD; Chief Editor: Dirk M Elston, MD  more...
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Overview

Background

Favre-Racouchot syndrome is a disorder consisting of multiple open and closed comedones in the presence of actinically damaged skin. The disease was originally described in 1932 by Favre [1] and reviewed in detail by Favre and Racouchot in 1951. [2]

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Pathophysiology

This syndrome is limited to the skin. No internal manifestations occur.

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Epidemiology

US frequency

In the United States and worldwide, this disorder has been reported to occur in 6% of adults older than 50 years.

Race

This disorder is found most commonly in whites, but isolated cases have been reported in dark-skinned people.

Sex

Males are affected much more commonly, but cases have been reported in women.

Age

Middle-aged to elderly individuals mostly are affected, although reports of young adults developing the problem exist.

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Prognosis

Prognosis is excellent, if properly treated. Favre-Racouchot syndrome is of cosmetic concern. It is an indication that the individual has had chronic excessive exposure to UV light. It is also strongly associated with heavy cigarette smoking. [3]

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Patient Education

Strongly advise the patient to avoid sun exposure and to use a sunblock daily, as continued UV damage will aggravate the disorder and potentiate the development of pre-cancers and skin cancers.

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