Erythromelanosis Follicularis Faciei et Colli – Complete Information

Erythromelanosis follicularis faciei et colli (EFFC) is a common and underdiagnosed condition characterized by redness, hyperpigmentation, and follicular papules. It might sometimes be accompanied by telangiectasia and lesions on the forehead, eyebrows, upper lips, and pinna. 

The pigmentation is usually on both preauricular regions, maxillary, and the cheeks.

It is also often associated with keratosis pilaris.

The causes of this disease are not known.

It affects males and females in adolescence or young adulthood.

So far, no treatment has proven satisfactory in the treatment of Erythromelanosis follicularis faciei et colli, and is something you will have to talk to your doctor about.

Treatments that can help but can recur once discontinued:

• Using moisturizers, emollients, and sunscreen everyday can help to reduce EFFC.

• You can also exfoliators like AHAs/BHAs, urea, ammonium lactate (12%), tretinoin cream (0.05%, 1%), hydroquinone 4%, chemical peels, and metronidazole to reduce EFFC and hyperpigmentation.

• lasers are another option that has been used with variable results.