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Favre-Racouchot syndrome; nodular cutaneous elastosis with cysts & comedones
named after the French dermatologist Maurice Favre & his student Jean Racoucho
Etiology:
- chronic sun exposure
- heavy smoking
- radiation therapy (rare)
Pathology:
- multiple open & closed comedones in the presence of actinically damaged skin
- limited to the skin
- no internal manifestations occur
Clinical manifestations:
- multiple open & closed comedones with yellowish nodules of elastotic material in a middle-aged to elderly individual with actinic damage
- distribution
- sun-exposed skin, especially under distribution lateral of the eyes
Differential diagnosis:
- acne vulgaris
- colloid milium
- sebaceous hyperplasia
- syringoma
- trichoepithelioma
Management:
- sun protection
- sunscreen
- avoid sun exposure, especially between 10:00 am & 2:00 pm
- topical retinoids including tretinoin, adapalene, or tazarotene may loosen comedones & assist in the extraction of individual comedones [3]
General
sebaceous gland disease
syndrome
References
- Medical Knowledge Self Assessment Program (MKSAP) 16
American College of Physicians, Philadelphia 2012
- Wikipedia: Favre-Racouchot_syndrome
http://en.wikipedia.org/wiki/Favre-Racouchot_syndrome
- Feinstein RP and Elston DM
eMedicine: Favre-Racouchot Syndrome (Nodular Elastosis With
Cysts and Comedones)
http://emedicine.medscape.com/article/1119362-overview