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May 1982

Curettage for Removal of the Comedones and Cysts of the Favre-Racouchot Syndrome

Author Affiliations

From the Chemosurgery Clinic and the Department of Surgery, University of Wisconsin Clinical Science Center, Madison (Dr Mohs); the Department of Dermatology, University of Louisville (Dr McCall); and the Department of Dermatology, Naval Medical Center, San Diego (Dr Greenway).

Arch Dermatol. 1982;118(5):365-366. doi:10.1001/archderm.1982.01650170079034

The multiple, grouped comedones and cysts in the elastotic skin of middle-aged or older patients are designated the Favre-Racouchot syndrome, since the first thorough description of the condition was made by Favre and Racouchot1 in 1951. Although the periorbital areas and temples are most commonly affected, the condition occasionally occurs in other sun-exposed areas of the face and neck.

Materials and Methods  Treatment in the past has not been entirely satisfactory. Simple extraction of the lesions is usually followed by recurrence in the same sites. Dermabrasion produces some improvement but also leaves some changes in the appearance of the skin in the area.2 Tretinoin in alcohol solution is stated to be effective, but twice-daily applications during a nine- to 16-week period are required for beneficial treatment results, and some of the openings tend to remain patulous.3,4Experience with the use of the curette for removal of seborrheic

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