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Dermatology · Papulosquamous disorders: Favre-Racouchot syndrome
Sample itemAn elderly man with decades of sun exposure and smoking has open comedones and small cysts on yellowed, furrowed skin around both eyes and over the cheekbones. There is no inflammation. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Favre-Racouchot syndrome
Favre-Racouchot syndrome is nodular elastosis with cysts and comedones in severely sun-damaged skin of the periorbital and temple areas. It is a consequence of chronic UV exposure and smoking, and treated with extraction or retinoids.
Option by option
A. Rosacea
Rosacea shows flushing, telangiectasia and papulopustules without comedones.
B. Acne vulgaris
Acne vulgaris is inflammatory and affects younger people.
C. Syringomas
Syringomas are small skin-coloured papules on the lower eyelids.
D. Favre-Racouchot syndrome (correct)
Correct. Comedones and cysts over solar elastosis are typical of Favre-Racouchot.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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