June 1997

Favre-Racouchot Syndrome: A Case for Smokers' Comedones

Author Affiliations



USA Department of Dermatology Brooke Army Medical Center Ft Sam Houston, TX 78234-6263

Arch Dermatol. 1997;133(6):796-797. doi:10.1001/archderm.1997.03890420142027

Smoking has many known cutaneous manifestations, including an increased association with premature aging,1,2 which have recently been thoroughly reviewed by Smith and Fenske.3 Many authors4,5 recognize the existence of "smoker's face." At our dermatology clinic, one of us (G.C.K) noted that Favre-Racouchot syndrome (nodular elastosis with cysts and comedones) seemed more common in smokers. A survey was designed to examine this issue.

Materials and Methods.  Our cancer screening clinic serves a mostly self-referred, white, retired military population in San Antonio, Tex. Fifty-six consecutive patients with Favre-Racouchot syndrome (subjects) were asked about their history of smoking. Patients were classified as smokers if they had a greater than 5 pack-year smoking history. This group was compared with 309 consecutive patients without Favre-Racouchot syndrome (controls). The survey was not designed to measure the incidence of Favre-Racouchot syndrome since subjects were collected over a longer period than controls. All observers were

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