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May 1992

Favre-Racouchot Syndrome: A Combined Therapeutic Approach

Author Affiliations

USA; USA; USA; USA; Brooke Army Medical Center, Fort Sam Houston, Tex

Arch Dermatol. 1992;128(5):615-616. doi:10.1001/archderm.1992.01680150043002

REPORT OF A CASE  A 57-year-old white woman presented with a 10-year history of slowly enlarging malar masses bilaterally. These masses had grown to such an extent that they could no longer be concealed behind wide-rimmed glasses and had become quite embarrassing for her. The patient had a history of extensive sun exposure but denied other forms of irradiation and acne. No other family members were affected.The findings from her physical examination showed rubbery, multilobulated, tan nodules with prominent furrowing over both malar eminences (Fig 1). The incisional biopsy specimen of the right malar nodule showed large keratin-filled cysts and dilated follicular infundibula. The epithelial lining of several cysts demonstrated suppurative inflammation. The dermis was markedly fibrotic and contained small amounts of solar elastosis.

DIAGNOSIS:  Nodular elastosis with cysts and comedones (Favre-Racouchot syndrome).

THERAPEUTIC CHALLENGE  Therapeutic methods for the treatment of nodular elastosis with cysts and comedones include extraction,