To the Editor.—
There is little recommendation for the therapy of the Favre-Racouchot syndrome in the English literature. A recent publication suggests (translated), ". . . As far as the eyelids are affected, plastic surgery with the removal of the diseased skin and the comedones is indicated".1 Besides this approach, dermabrasion is now being recommended to help these comedo-ridden patients.2Since 1968 we have treated 15 patients with the Favre-Racouchot syndrome. If a 0.1% vitamin A acid in an alcoholic solution was applied twice daily, the comedones were removed and the skin smoothed within 9 to 16 weeks without additional medications or expression of the comedones. The results were cosmetically excellent and permanent without scarring, hyperpigmentation, or sensitization (Fig 1 and 2). Our experiences have been published recently3 to advocate the local treatment of the Favre-Racouchot syndrome and acne venenata with topically applied vitamin A acid.
Plewig G. Dermabrasion for Nodular Cutaneous Elastosis With Cysts and Comedones. Arch Dermatol. 1972;105(2):294-296. doi:10.1001/archderm.1972.01620050092024