Erythromelanosis Follicularis Faciei et Colli: A Case Report in a Caucasian Male and Brief Review of the Literature

Abstract

Erythromelanosis follicularis faciei et colli, a rare condition of unknown etiology, was first described by Kitamura et al. from Japan in 1960. It is characterized by a triad consisting of well-demarcated erythema, hyperpigmentation, and follicular papules. We report the case of a 50-year-old Caucasian male, who had asymptomatic symmetrical facial lesions since the age of 42. His family history was unremarkable. Published erythromelanosis follicularis faciei et colli cases of the last 10 years are summarized in this report to demonstrate the variability and differences in the clinical presentation of this uncommon diagnosis.

Erythromelanosis follicularis faciei et colli: Dermoscopy and dermatopathology correlates

“…The evidence for their use is controversial. 1 Through in our case, we underline the contribution of dermoscopy in the diagnosis of EFFC.…”

“…The patient's hair and nails Erythromelanosis follicularis faciei et colli is a benign dermatosis of unknown etiology. 1 An autosomal recessive origin of inheritance and familial cases, or sporadic mutation, and chromosomal instability have been confirmed in some cases. It affects equally males and females with a mean age of onset of 12 years.…”

“…So far, there are about 50 cases reported. 1,2 It primarily affects people with skin color and is seen less commonly in the Caucasian population.…”

Treatment of erythromelanosis follicularis faciei et colli with a 595‐nm pulsed dye laser

“…5 Oral isotretinoin can help with keratotic papules and local pigmentation, but its efficacy on facial telangiectasia is limited, and recurrence often occurs shortly after treatment cessation. 1,7,8 Many patients find the most troublesome symptoms to be facial/neck flushing or redness, particularly in response to sunlight exposure, enclosed spaces, or emotional fluctuations. These symptoms tend to worsen over time.…”