Surgical response of Favre‐Racouchot Disease

Abstract

Introduction: Favre-Racouchot disease is a cutaneous elastosis, which affects preferably periorbital region, caused by chronic sun exposure. It is characterized by the appearance of raised yellowing lesions and multiple comedones.

Objective: to present the case of a patient diagnosed with Favre-Racouchot disease, who underwent surgical and medical treatment with satisfactory results.

Case presentation: white, male, 58-year-old patient from a rural area and agricultural worker, smoker for more than 20 years, with a history of chronic photo-exposure from adolescence to the present. He went to the dermatology office for presenting skin lesions that did not produce symptoms, but had aesthetic repercussions. The cutaneous picture was localized, bilateral and asymmetric, consisting of confluent papules and cystic nodules, grouped on a yellowish atrophic skin, deep wrinkles and large black comedones located in the temporal and periorbital regions, without inflammation. Given this situation, medical and surgical treatment is decided.

Conclusions: the factors causing Favre-Racouchot disease in this patient were prolonged photo-exposure, without the correct protection, and smoking. Although in general the neighborhood sliding autoplasty is not used in cases with large lesions and sagging skin in the affected areas, in this patient the results were satisfactory. After surgery, it is important that the patient make changes in his lifestyle and stay with the specialized follow-up.