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Unilateral Nodular Elastosis with Cysts and Comedones (Favre-Racouchot Syndrome)

Favre-Racouchot syndrome (FRS) or nodular elastosis with cysts and comedones of Favre-Racouchot is a known manifestation of chronic actinic damage in predisposed hosts. Recently, smoking has also been implicated as a potential cofactor in the development of FRS [1]. The clinical presentation is usually stereotypic, with multiple open and cystically dilated comedones or yellowish plaques, superimposed on a sun-damaged skin, symmetrically affecting the periorbital areas and the cheeks. Fig. 1. a Favre-Racouchot syndrome. Typical lesions are observed on the left side of the face. b Right side of the face. Normal appearance.