A case of Favre-Racouchot syndrome

Favre-Racouchot syndrome is a cutaneous disease characterized by a degenerative process of dermis associated with comedones, furrows and nodules. It occurs on the face of aged men, a remarkable preference for the male, after prolonged exposure to sunlight. The pathogenesis of Favre-Racouchot syndrome is uncertain. The damage by UV exposure has been strongly suggested as a major cause. We present a typical case of Favre-Racouchot syndrome in a 65 year old male. The patient had numerous yellowish cysts, comedones and nodules on both cheeks. Histopathology of the lesion showed dilated pilosebaceous openings and large cyst-like spaces filled with multi-layered horny material in addition to pronounced solar elastosis in the dermis.