Favre-Racouchot Syndrome

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Favre-Racouchot syndrome is a disorder consisting of multiple open and closed comedones in the presence of actinically damaged skin. The disease was originally described in 1932 by Favre[1] and reviewed in detail by Favre and Racouchot in 1951.

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Management

Use sun protection and apply oil-free sunscreen to exposed skin
Stop smoking
Wash affected areas twice daily with mild soap or cleanser and water
Apply retinoid cream to affected areas at night (this requires a doctor’s prescription)
Apply light moisturisers if the skin is dry (dryness may be aggravated by the retinoid)
The contents of the comedones can be squeezed out gently using a “comedo expressor”, an instrument which can be purchased at a pharmacy.

If these measures are unhelpful, the comedones can often be removed by cautery, diathermy or laser treatment. They may recur and require further treatment from time to time.

Solar Comedones

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